Active NPI
Tiana J Penny, CRNA
- Certified Registered Nurse Anesthetist
- Shawnee Mission, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 558009
- Practice address
- 9100 W 74TH St
Shawnee Mission, KS 66204-4004 - Phone
- (913) 632-2230
- Fax
- (913) 632-2297
- NPI assigned
- Apr 12, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 129852 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 558009 | KS | Primary |
Addresses
Primary practice location
9100 W 74TH St
Shawnee Mission, KS 66204-4004
Mailing address
PO Box 411895
Kansas City, MO 64141-1895
Phone (913) 632-2230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9100 W 14TH St
Shawnee Mission, KS 66204-4004
Phone (913) 632-2230
Hospital & facility affiliations
- Adventhealth Shawnee Mission
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129852 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Associates, PA | Registered Nurse | Current | Accepting new patients |
Locations
9301 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-9300
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
Organizations & group practices 1
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
- Shawnee Mission, KS
- NPI 1336192392
Registered Nurse
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1609518331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411895",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641411895",
"telephone_number": "913-632-2230",
"fax_number": "913-632-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 W 74TH ST",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662044004",
"telephone_number": "913-632-2230",
"fax_number": "913-632-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNY",
"first_name": "TIANA",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "129852",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "558009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.