Individual provider Active NPI

Brenda G Watson, CRNA

  • Certified Registered Nurse Anesthetist
  • Prestonsburg, KY
National Provider Identifier
1689767675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2193A Issued in KY
Practice address
5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone
(606) 886-8511
Fax
(606) 523-2547
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2193A KY Primary

Addresses

Primary practice location

5000 Ky Route 321
Prestonsburg, KY 41653-9113

Mailing address

2 Trillium Way Ste 205
Corbin, KY 40701-8445
Phone (606) 523-2140

Other identifiers 1

IdentifierTypeStateIssuer
000000325815OtherKYANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041023000300 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173584059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Anesthesia Group, PSCGroup PAC ID 9436161585, 77 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 886-8511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2193AKYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2012 Accepting new patients
Triangle Anesthesia Group PSC Nurse Anesthetist, Certified Registered CurrentSince Aug 21, 2020 Accepting new patients
Arena and Monaco, PSC Crna Nurse Anesthetist, Certified Registered Past Accepting new patients
Definitive Medical Solutions, PSC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

275 Highway 770
Corbin, KY 40701
Phone (606) 526-7874

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

11203 Main St
Martin, KY 41649
Phone (606) 285-5181

625 James Trimble Blvd
Paintsville, KY 41240

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689767675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRILLIUM WAY STE 205",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018445",
            "telephone_number": "606-523-2140",
            "fax_number": "606-523-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539113",
            "telephone_number": "606-886-8511",
            "fax_number": "606-523-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BRENDA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "2193A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000325815",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.