Active NPI
Kristina McKeown, CRNA
- Certified Registered Nurse Anesthetist
- Athens, GA
National Provider Identifier
1649647025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 146817
- Practice address
- 1199 Prince Ave
Athens, GA 30606-2797 - Phone
- (706) 543-3449
- NPI assigned
- Sep 1, 2015
- 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 | RN219302 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 146817 | AK | Primary |
Addresses
Primary practice location
1199 Prince Ave
Athens, GA 30606-2797
Mailing address
PO Box 3209
Indianapolis, IN 46206-3209
Phone (706) 543-3449
Other names 1
- Mrs. Kristina Brumbelow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, VA, NV
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Tennessee, HSC, College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Las Vegas, NV 89117
Phone (469) 983-0099
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146817 | AK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Rock Anesthesia Consultants LLC | Current | Accepting new patients | |
| Amin, Dunckelmeyer and Luu PLLC | Current | Accepting new patients | |
| Premier Anesthesia of Virginia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Past | Accepting new patients |
Locations
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
150 S Nevada Highway 160
Ste 8199
Pahrump, NV 89048
Phone (917) 903-0010
400 Sentara Cir
#200
Williamsburg, VA 23188
Phone (678) 690-7816
100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826
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.
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1093410045
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1235660002
-
- Anesthesiology Physician
- Woodbridge, VA
- NPI 1255986147
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1295319085
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1942991245
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1417947490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1649647025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3209",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063209",
"telephone_number": "706-543-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PRINCE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062797",
"telephone_number": "706-543-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEOWN",
"first_name": "KRISTINA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN219302",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AK",
"license": "146817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "BRUMBELOW",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.