Active NPI
Sandra Lee Hurst, CRNA
- Certified Registered Nurse Anesthetist
- Henryetta, OK
National Provider Identifier
1497840755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D6243617
- Practice address
- 23203 S 220 Rd
Henryetta, OK 74437-7511 - Phone
- (918) 650-9566
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 8, 2007
- 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 | D6243617 | OK | Primary |
Addresses
Primary practice location
23203 S 220 Rd
Henryetta, OK 74437-7511
Mailing address
PO Box 98
Okmulgee, OK 74447-0098
Phone (986) 509-5661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6243617 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenai Peninsula Anesthesia, LLC | Past | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Past | Accepting new patients | |
| Omh Home Health | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Home Health Agency
- Okmulgee, OK
- NPI 1831191543
-
- Anesthesiology Physician
- Soldotna, AK
- NPI 1164535993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497840755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744470098",
"telephone_number": "986-509-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23203 S 220 RD",
"city": "HENRYETTA",
"state": "OK",
"postal_code": "744377511",
"telephone_number": "918-650-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "SANDRA",
"middle_name": "LEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "D6243617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henryetta, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.