Individual provider Active NPI

Sharon A Tyree, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
National Provider Identifier
1679545545
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55115 Issued in KS
Practice address
929 N Saint Francis St
Wichita, KS 67214-3821
Phone
(316) 268-5000
Fax
(316) 291-4272
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA-01303 NM
Certified Registered Nurse Anesthetist 367500000X 55115 KS Primary

Addresses

Primary practice location

929 N Saint Francis St
Wichita, KS 67214-3821

Mailing address

4401 Masthead St NE
#120
Albuquerque, NM 87109-4497
Phone (505) 243-7729

Other practice location 1

1610 S Ann Ct
Independence, MO 64057-1960
Phone (816) 796-3332

Other practice location 2

2770 N Webb Rd
Wichita, KS 67226-8112
Phone (316) 634-0090

Other identifiers 2

IdentifierTypeStateIssuer
100454160EMedicaidKS
913810347MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA-01303NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Oklahoma PLLC Past Accepting new patients
Kansas Pain Management Past Accepting new patients
Summit Gastroenterology LLC PastSince Oct 31, 2005 Accepting new patients
Eastern Panhandle Anesthesia Associates Past Accepting new patients
Excel Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Topeka PA PastSince Aug 5, 1993 Accepting new patients
Midwest Anesthesia Inc. Past Accepting new patients
Leavenworth Anesthesia PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Digestive Health Specialists, LLC PastSince Oct 1, 2015 Accepting new patients

Organizations & group practices 9

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679545545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MASTHEAD ST NE",
            "address_2": "#120",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094497",
            "telephone_number": "505-243-7729",
            "fax_number": "505-243-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5000",
            "fax_number": "316-291-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 S Ann Ct",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571960",
            "country_code": "US",
            "telephone_number": "816-796-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2770 N Webb Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672268112",
            "country_code": "US",
            "telephone_number": "316-634-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYREE",
        "first_name": "SHARON",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-01303",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100454160E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913810347",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.