Mary Beth Kispert, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

80012 Issued in WI

Practice address

5000 W National Ave
Milwaukee, WI 53295-0001

Phone

(414) 384-2000

Fax

(414) 384-2939

NPI assigned

Jul 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Mary Beth Muench Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southeast Anesthesiology

  dba Seac, SC

  • Anesthesiology Physician
  • Racine, WI
  • NPI 1740225697
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699792770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9207 N TENNYSON DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532171465",
            "telephone_number": "414-352-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532950001",
            "telephone_number": "414-384-2000",
            "fax_number": "414-384-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISPERT",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "80012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MUENCH",
            "middle_name": "BETH",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Frederick Kirkwood, RPH
• Lu Ann Marie Kirsch, COTA
• Steven P Kisch, PA
• Shari Diane Kiser
• Armen Kishmiryan, MD
• Kali Michelle Kisro, FNP-BC
• Brett M Kissela, MD
• Beth A. Kissner, OTR
• Amy J Kistner, LPC
• Isabella Mary Kistner

• Certified Registered Nurse Anesthetist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.