Individual provider Active NPI

Kristine Starkovich, CRNA

  • Certified Registered Nurse Anesthetist
  • Lafayette, LA
National Provider Identifier
1558346817
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP01504 Issued in LA
Practice address
4212 W Congress St
Suite 3200
Lafayette, LA 70506-6765
Phone
(337) 981-3546
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP01504 LA Primary

Addresses

Primary practice location

4212 W Congress St
Suite 3200
Lafayette, LA 70506-6765

Mailing address

PO Box 60475
Lafayette, LA 70596-0475
Phone (337) 988-1890

Other identifiers 1

IdentifierTypeStateIssuer
1980650MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040911000249 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395712160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Anesthesia Services LLCGroup PAC ID 0345760666, 10 clinicians

Practice addresses (Care Compare)

300 E Bluebird Dr
Lafayette, LA 70508
Phone (337) 889-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP01504LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Anesthesia Services LLC CurrentSince Feb 1, 2025 Accepting new patients
Anesthesiology & Pain Consultants, LLC CurrentSince Aug 25, 2003 Accepting new patients
Los Orthopaedic and Spine Surgery Center, LLC CurrentSince Feb 1, 2025 Accepting new patients
DRS Burleigh, Dupleix and Rees Past Accepting new patients

Locations

1101 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775

4811 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (337) 237-8119

4212 W Congress St
Ste 3200
Lafayette, LA 70506
Phone (337) 273-2863

4811 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 237-8119

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

1103 Kaliste Saloom Rd
Ste 304
Lafayette, LA 70508
Phone (318) 981-3546

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1558346817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60475",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705960475",
            "telephone_number": "337-988-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST",
            "address_2": "SUITE 3200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066765",
            "telephone_number": "337-981-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKOVICH",
        "first_name": "KRISTINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP01504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980650",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.

Verify at the official NPI Registry.