Kristen Pruitt, D.O.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1430 Tulane Ave
SL 50
New Orleans, LA 70112-2632

Phone

(504) 988-7809

Fax

(504) 988-3971

NPI assigned

Mar 21, 2017

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

• Kristen Skinner Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Tulane University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Anesthesiology Consultants a Medical Group IncGroup PAC ID 6406825439, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Metropolitan Anesthesiology Consultants a Medical Group Inc

  • Anesthesiology Physician
  • Carmichael, CA
  • NPI 1184671372
  Medicare reassignment Care Compare group
• Metropolitan Anesthesia Consultants, Inc

  • Anesthesiology Physician
  • Sacramento, CA
  • NPI 1861449423
  NPD (past)

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

• Dignity Health

  dba Mercy San Juan Medical Center

  • General Acute Care Hospital
  • Carmichael, CA
  • NPI 1972541498
  Care Compare affiliation

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1760913842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL 50",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7809",
            "fax_number": "504-988-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL 50",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7809",
            "fax_number": "504-988-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "KRISTEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SKINNER",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leticia Provost, L.C.S.W.
• Emily Provosty
• Stacie Marie Provosty, M.A. CCC-SLP
• Amy Victoria Prudhomme, D.O.
• Derrick Pruitt, B.S PSYCHOLOGY
• Karen L. Pryor, NP
• Prytania Pathology Associates LLC
• Prytania Pathology Associates, LLC
• Psalms 23 DME
• Psalms 23 DME LLC (Divine Inspiration PCA Services)

• Student in an Organized Health Care Education/Training Program in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Student in an Organized Health Care Education/Training Program in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.