NPIMap

Organization Active NPI

Guardian Anesthesia Specialists, LLC

  • Certified Registered Nurse Anesthetist
  • Kansas City, MO
National Provider Identifier
1740611789
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
078933 Issued in MO
Legal business name
GUARDIAN ANESTHESIA SPECIALISTS, LLC
Practice address
5151 NW 88TH St
Kansas City, MO 64154-2700
Phone
(816) 420-3939
NPI assigned
Dec 2, 2013
Last updated
Apr 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Elisa A McKay, CRNANPI 1679597041
Title
President/Authorized Official
Phone
(913) 262-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 078933 MO Primary
Anesthesiology Physician 207L00000X MO

Addresses

Primary practice location

5151 NW 88TH St
Kansas City, MO 64154-2700

Mailing address

PO Box 413186
Kansas City, MO 64141-3186
Phone (888) 243-4478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160219000352 MO Part B Supplier - Clinic/Group Practice 5092932673 Receives reassigned benefits from 50 practitioners
Practice locations: Excelsior Springs, MO; Kansas City, MO; Liberty, MO; Saint Joseph, MO; Warrensburg, MO

National Provider Directory

National Provider Directory

Locations

1100 W College St
Liberty, MO 64068
Phone (816) 415-3003

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1740611789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413186",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641413186",
            "telephone_number": "888-243-4478",
            "fax_number": "913-647-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 NW 88TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542700",
            "telephone_number": "816-420-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANESTHESIA SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "913-262-2277",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "078933",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.

Verify at the official NPI Registry.