Individual provider Active NPI

Kristyn R. Bohrer, REGISTERED NURSE

  • Certified Registered Nurse Anesthetist
  • Savannah, GA
National Provider Identifier
1669731170
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN197774 Issued in GA
Practice address
4700 Waters Ave
Savannah, GA 31404-6220
Phone
(912) 354-3510
Fax
(912) 356-3391
NPI assigned
May 4, 2012
Last updated
Jul 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN126368 LA
Certified Registered Nurse Anesthetist 367500000X RN197774 GA Primary

Addresses

Primary practice location

4700 Waters Ave
Savannah, GA 31404-6220

Mailing address

PO Box 116324
Atlanta, GA 30368-2032
Phone (912) 354-3510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140429001400 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224294103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum AnesthesiaGroup PAC ID 9638326432, 65 clinicians

Practice addresses (Care Compare)

40 Okatie Ctr Blvd S
Suite 125
Okatie, SC 29909-7510
Phone (843) 705-8804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN126368LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Anesthesia, LLC CurrentSince May 20, 2023 Accepting new patients
Low Country Anesthesia, PA CurrentSince Dec 24, 2021 Accepting new patients
Optimum Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Apr 8, 2025 Accepting new patients
Memorial Health Anesthetists Past Accepting new patients
Parish Anesthesia of New Orleans, LLC Past Accepting new patients

Locations

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

1844 Wallace School Rd
Charleston, SC 29407
Phone (843) 556-2545

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

190 Pembroke Dr
Hilton Head Island, SC 29926
Phone (843) 682-2345

40 Okatie Center Blvd S
Ste 125
Okatie, SC 29909
Phone (843) 705-8804

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1669731170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116324",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682032",
            "telephone_number": "912-354-3510",
            "fax_number": "912-356-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-354-3510",
            "fax_number": "912-356-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHRER",
        "first_name": "KRISTYN",
        "middle_name": "R.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN126368",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN197774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.