Active NPI
Kayla Marie Spaulding, CRNA
- Certified Registered Nurse Anesthetist
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 143217
- Practice address
- 1 S Bryant Ave
Edmond, OK 73034-6309 - Phone
- (405) 314-6100
- NPI assigned
- Feb 17, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 143217 | OK | Primary |
| Registered Nurse | 163W00000X | R0115807 | OK |
Addresses
Primary practice location
1 S Bryant Ave
Edmond, OK 73034-6309
Mailing address
1513 Washington St
Edmond, OK 73034-4906
Phone (580) 830-0480
Other practice location 1
1201 Health Center Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220749 | Other | OK | APRN-CRNA LICENSE |
| 143217 | Other | CRNA CERTIFICATION | |
| R0115807 | Other | OK | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Health Ctr Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0115807 | OK | MD | Registered Nurse |
| 143217 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Professionals, PLLC | Current | Accepting new patients |
Locations
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
3300 NW Expressway St
Fl 2
Oklahoma City, OK 73112
Phone (405) 251-2815
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Edmond, OK
- NPI 1962785931
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1265376677
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yukon, OK
- NPI 1306865357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1760180814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 WASHINGTON ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344906",
"telephone_number": "580-830-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346309",
"telephone_number": "405-314-6100"
}
],
"practiceLocations": [
{
"address_1": "1201 Health Center Pkwy",
"address_purpose": "LOCATION",
"city": "Yukon",
"state": "OK",
"postal_code": "730996381",
"country_code": "US",
"telephone_number": "405-717-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPAULDING",
"first_name": "KAYLA",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-17",
"last_updated": "2024-12-10",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "143217",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R0115807",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN-CRNA LICENSE",
"identifier": "220749",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA CERTIFICATION",
"identifier": "143217",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "R0115807",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.