Active NPI
Kathy Ann Toupal, CRNA
- Certified Registered Nurse Anesthetist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA - 01058
- Practice address
- 1100 Central Ave SE
Albuquerque, NM 87106-4930 - Phone
- (505) 841-1234
- Fax
- (505) 841-1956
- NPI assigned
- Jun 28, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0073935 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA - 01058 | NM | Primary |
Addresses
Primary practice location
1100 Central Ave SE
Albuquerque, NM 87106-4930
Mailing address
7912 E 31St CT
Ste 210
Tulsa, OK 74145-1315
Phone (918) 392-4477
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202040876 | Other | NM | PHP SALUD |
| 200041630A | Medicaid | OK | |
| 900522349 | Other | OK | MEDICARE GROUP PIN |
Other names 1
- Kathy Ann Goodwin and Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Dr Martin Luther King Jr Ave NE
Lovelace Medical Center
Albuquerque, NM 87102-3619
Phone (505) 727-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA - 01058 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of New Mexico P C | Current | Accepting new patients | |
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| Southcrest Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Associated Anesthesiologists, Inc. | Past | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1891733598
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1205880754
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1598762163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7912 E 31ST CT",
"address_2": "STE 210",
"city": "TULSA",
"state": "OK",
"postal_code": "741451315",
"telephone_number": "918-392-4477",
"fax_number": "918-392-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "505-841-1234",
"fax_number": "505-841-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOUPAL",
"first_name": "KATHY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0073935",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "CRNA - 01058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP SALUD",
"identifier": "202040876",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200041630A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "900522349",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "GOODWIN AND MARTIN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.