Active NPI
Kristen Kae Carlson-McCarthy, CRNA
- Certified Registered Nurse Anesthetist
- Lacona, IA
National Provider Identifier
1699854877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D-073435
- Practice address
- 20955 S23 Hwy
Lacona, IA 50139-8861 - Phone
- (515) 229-3393
- NPI assigned
- Nov 6, 2006
- Last updated
- Nov 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D-073435 | IA | Primary |
Addresses
Primary practice location
20955 S23 Hwy
Lacona, IA 50139-8861
Mailing address
20955 S23 Hwy
Lacona, IA 50139-8861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-073435 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne County Hospital | Current | Accepting new patients | |
| Clarke County Public Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Knoxville Area Anesthesia Services | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
417 S East St
Corydon, IA 50060
Phone (641) 872-2260
Interoperability endpoints
- kcarlsonmccarthy3941311@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Corydon, IA
- NPI 1174599468
-
dba Clarke County Hospital
- Emergency Medicine Physician
- Osceola, IA
- NPI 1023045804
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Knoxville, IA
- NPI 1104089275
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1699854877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20955 S23 HWY",
"city": "LACONA",
"state": "IA",
"postal_code": "501398861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20955 S23 HWY",
"city": "LACONA",
"state": "IA",
"postal_code": "501398861",
"telephone_number": "515-229-3393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON-MCCARTHY",
"first_name": "KRISTEN",
"middle_name": "KAE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D-073435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lacona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.