Active NPI
Emily Kaye Clementson, CRNA
- Certified Registered Nurse Anesthetist
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 679753
- Practice address
- 1450 Western Ave
Suite 102
Albany, NY 12203-3539 - Phone
- (518) 463-0050
- Fax
- (518) 207-2973
- NPI assigned
- Nov 14, 2013
- 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 | R 176258 3 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 679753 | NY | Primary |
Addresses
Primary practice location
1450 Western Ave
Suite 102
Albany, NY 12203-3539
Mailing address
1450 Western Ave
Suite 102
Albany, NY 12203-3539
Phone (518) 463-0050
Other names 1
- Miss Emily Kaye Lufholm
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (360) 487-1000
Hospital & facility affiliations
- Legacy Salmon Creek Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 176258 3 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Oregon Anesthesiology Group PC | Current | Accepting new patients | |
| Albany Medical College | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1367 Washington Ave
Ste 401
Albany, NY 12206
Phone (518) 438-7638
707 SW Washington St
Ste 700
Portland, OR 97205
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
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.
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
-
- Anesthesiology Physician
- Albany, NY
- NPI 1841226594
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1609206432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 WESTERN AVE",
"address_2": "SUITE 102",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033539",
"telephone_number": "518-463-0050",
"fax_number": "518-207-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 WESTERN AVE",
"address_2": "SUITE 102",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033539",
"telephone_number": "518-463-0050",
"fax_number": "518-207-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTSON",
"first_name": "EMILY",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 176258 3",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "679753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "LUFHOLM",
"middle_name": "KAYE",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.