Active NPI
Kristie Lynn Mullins, CRNA
- Certified Registered Nurse Anesthetist
- Morehead, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3015728
- Practice address
- 222 Medical Circle
Morehead, KY 40351-1179 - Phone
- (606) 783-6500
- Fax
- (606) 783-6570
- NPI assigned
- Oct 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3015728 | KY | Primary |
Addresses
Primary practice location
222 Medical Circle
Morehead, KY 40351-1179
Mailing address
PO Box 968
Morehead, KY 40351-0968
Phone (866) 413-9534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100719590 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1000
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone (865) 835-3560
Hospital & facility affiliations
- Parkwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Claire Medical Center, Inc., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Covenant Anesthesia Group, PC | Current | Accepting new patients |
Locations
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
Dept 888089
Knoxville, TN 37995
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1819 Clinch Ave
Ste 206
Knoxville, TN 37916
Phone (865) 522-2949
1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Oak Ridge, TN
- NPI 1639148117
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1497352686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 968",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403510968",
"telephone_number": "866-413-9534",
"fax_number": "260-407-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MEDICAL CIRCLE",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511179",
"telephone_number": "606-783-6500",
"fax_number": "606-783-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "KRISTIE",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3015728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100719590",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.