Active NPI
Laura Real, CRNA
- Certified Registered Nurse Anesthetist
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D143572
- Practice address
- 2720 Stone Park Blvd
Sioux City, IA 51104-3734 - Phone
- (712) 279-3290
- NPI assigned
- Apr 12, 2016
- Last updated
- Apr 12, 2016
- 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 | D143572 | IA | Primary |
Addresses
Primary practice location
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Mailing address
PO Box 62
Jefferson, SD 57038-0062
Phone (210) 823-8059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 W Norfolk Ave
Faith Regional Health Services
Norfolk, NE 68701-4438
Phone (402) 371-4880
575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Anesthesia Partners PLLC | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Peterson Medical Associates | Current | Accepting new patients |
Locations
47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150
2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194
2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131
551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414
575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090
575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237
423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000
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.
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1124760996
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Faith Health
- General Acute Care Hospital
- Norfolk, NE
- NPI 1285676544
-
dba Peterson Regional Medical Center
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1548624810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62",
"city": "JEFFERSON",
"state": "SD",
"postal_code": "570380062",
"telephone_number": "210-823-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 STONE PARK BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043734",
"telephone_number": "712-279-3290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAL",
"first_name": "LAURA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D143572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.