Active NPI
Joshua Blake Kiener, CRNA
- Certified Registered Nurse Anesthetist
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 66888
- Practice address
- 1201 Health Center Pkwy
Yukon, OK 73099-6381 - Phone
- (405) 717-6800
- Fax
- (405) 717-7964
- NPI assigned
- May 11, 2010
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 556986 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 66888 | OK | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Registered Nurse | 163W00000X | 66888 | OK | |
| Registered Nurse | 163W00000X | 1496375052 | KS |
Addresses
Primary practice location
1201 Health Center Pkwy
Yukon, OK 73099-6381
Mailing address
PO Box 13618
Oklahoma City, OK 73113-1618
Phone (405) 715-3610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200677680A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9600 Broadway Ext
McBride Orthopedic Hospital
Oklahoma City, OK 73114-7408
Phone (405) 486-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1496375052 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McBride Clinic Orthopedic Hospital, LLC | Current | Accepting new patients | |
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Anesthesia Medical Professionals, PLLC | Current | Accepting new patients | |
| Anesthesia Consulting Services, PA | Past | Accepting new patients |
Locations
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100
9801 N Oklahoma Ave
Oklahoma City, OK 73114
Phone (405) 230-9800
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1659413649
-
- Anesthesiology Physician
- Edmond, OK
- NPI 1962785931
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1518070416
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1932145505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1528386844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13618",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731131618",
"telephone_number": "405-715-3610",
"fax_number": "405-715-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 HEALTH CENTER PKWY",
"city": "YUKON",
"state": "OK",
"postal_code": "730996381",
"telephone_number": "405-717-6800",
"fax_number": "405-717-7964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIENER",
"first_name": "JOSHUA",
"middle_name": "BLAKE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "556986",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "66888",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "66888",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "1496375052",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200677680A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.