Amanda M Canady, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

682127 Issued in TX

Practice address

600 Medical Center Dr
Newton, KS 67114-8780

Phone

(216) 281-3700

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Amanda M Simon Other name

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision AnesthesiaGroup PAC ID 7719142223, 5 clinicians

Guardian Anesthesia Specialists LLCGroup PAC ID 5092932673, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Vision Anesthesia

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
  • NPI 1346514130

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Guardian Anesthesia Specialists, LLC

  • Certified Registered Nurse Anesthetist
  • Kansas City, MO
  • NPI 1740611789

  MO, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Novamed Eye Surgery Center of Overland Park, LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1629078043

  KS

  Medicare reassignment NPD
• Ophthalmic Anesthesia Team PA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
  • NPI 1013952126

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Novamed Eye Surgery Center of Overland Park, LLC

  • Certified Registered Nurse Anesthetist
  • Overland Park, KS
  • NPI 1285755330

  Nurse Anesthetist, Certified Registered

  NPD
• North Texas Anesthesiology,PLLC

  • Specialist
  • Denison, TX
  • NPI 1003920828
  NPD (past)
• R Lee Ennis MD PA

  • Anatomic Pathology Physician
  • Denison, TX
  • NPI 1457629503
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1568439263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148780",
            "telephone_number": "316-283-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148780",
            "telephone_number": "216-281-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADY",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "682127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RE-CERT #",
            "identifier": "092543",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172351201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "84799U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200050380A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423560A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "145437",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SIMON",
            "middle_name": "M",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tammy Bush
• Ashley Bre'a Butler, APRN, FNP-C
• Ashley D Callstrom, LSCSW
• Teresa N Camfield, APRN
• Lauren Elizabeth Campbell, M.A SLP
• Cancer Center of Kansas, P.a.
• Care by Design LLC
• Jake Adam Carey, DPT
• Mary B Carman, LP
• Cindy Kay Carpenter, LSCSW

• All providers in Newton, KS
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.