Active NPI
Jennifer Susan Doty, CRNA
- Certified Registered Nurse Anesthetist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 085340-23
- Practice address
- 2301 Holmes St
Kansas City, MO 64108-2677 - Phone
- (816) 404-1000
- NPI assigned
- Apr 9, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2013019481 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 085340-23 | NH | Primary |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108-2677
Mailing address
5105 Wyandotte St Apt 2N
Kansas City, MO 64112-2435
Phone (816) 536-5406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Univ of Missouri-Kansas City School of Dentistry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 882-3000
Hospital & facility affiliations
- St Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013019481 | MO | MD | Registered Nurse |
| 085340-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amoskeag Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
Organizations & group practices 1
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
- Manchester, NH
- NPI 1104883511
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1780264192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 WYANDOTTE ST APT 2N",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641122435",
"telephone_number": "816-536-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082677",
"telephone_number": "816-404-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTY",
"first_name": "JENNIFER",
"middle_name": "SUSAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-09",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2013019481",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "085340-23",
"primary": true
}
],
"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 Aug 11, 2021; 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.