Individual provider Active NPI

Sara Kathleen Lucido, CRNA

  • Certified Registered Nurse Anesthetist
  • Tulsa, OK
National Provider Identifier
1669757712
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
81312 Issued in OK
Practice address
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone
(918) 392-4683
Fax
(918) 392-4693
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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 81312 OK
Certified Registered Nurse Anesthetist 367500000X 81312 OK Primary

Addresses

Primary practice location

6839 S Canton Ave
Tulsa, OK 74136-3402

Mailing address

6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 392-4683

Other names 1

  • Sara Kathleen Rogers Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026001787 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820376841 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Eye Institute PLLCGroup PAC ID 6507083557, 36 clinicians
South Tulsa Anesthesia LLCGroup PAC ID 1355634023, 4 clinicians

Practice addresses (Care Compare)

6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020

9840 E 81 St
Suite 200
Tulsa, OK 74133-4584
Phone (918) 872-8447

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
95.73
Promoting interoperability
100
Improvement activities
40
Cost
76.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81312OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Osh Aai PLLC CurrentSince Aug 20, 2016 Accepting new patients
Langley Holdings, LLC Current Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 4, 2023 Accepting new patients
Olympia Anesthesia, PLC CurrentSince Oct 1, 2023 Accepting new patients
South Tulsa Anesthesia LLC CurrentSince Jan 1, 2025 Accepting new patients
Triad Eye Institute PLLC CurrentSince Jun 19, 2023 Accepting new patients

Locations

3615 SE Kentucky St
Bartlesville, OK 74006
Phone (800) 354-2020

63223 E 290 Rd
Grove, OK 74344
Phone (918) 786-3931

1001 E Wyandotte Ave
McAlester, OK 74501
Phone (918) 302-9232

3131 Military Blvd
Muskogee, OK 74401
Phone (918) 290-2300

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

111 N Bailey St
Pryor, OK 74361
Phone (918) 824-7791

6839 S Canton Ave
Tulsa, OK 74136
Phone (918) 494-0612

6901 S Olympia Ave
Tulsa, OK 74132
Phone (918) 388-5701

9840 E 81st St
Ste 200
Tulsa, OK 74133
Phone (918) 872-8447

6140 S Memorial Dr
Tulsa, OK 74133
Phone (918) 252-2020

Interoperability endpoints

  • Direct secure messaging: sara.lucido.1@12700.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1669757712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6839 S CANTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363402",
            "telephone_number": "918-392-4683",
            "fax_number": "918-392-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 S CANTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363402",
            "telephone_number": "918-392-4683",
            "fax_number": "918-392-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIDO",
        "first_name": "SARA",
        "middle_name": "KATHLEEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "81312",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "81312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "ROGERS",
            "middle_name": "KATHLEEN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.