Active NPI
Clifton Todd Boyte, CRNA
- Certified Registered Nurse Anesthetist
- Bowling Green, KY
National Provider Identifier
1801849872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN138164
- Practice address
- 250 Park St
Bowling Green, KY 42101-1760 - Phone
- (270) 393-1912
- Fax
- (270) 393-1913
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 | RN138164 | TN | Primary |
Addresses
Primary practice location
250 Park St
Bowling Green, KY 42101-1760
Mailing address
350 Park St
Ste 203 B
Bowling Green, KY 42101-1784
Phone (270) 393-1912
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3632733 | Medicaid | TN | |
| 4084215 | Other | TN | BLUE CROSS BLUE SHIELD |
| P00390653 | Other | KY | RAILROAD MEDICARE |
| 000000502687 | Other | KY | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43516 | KY | MD | Pediatric Sports Medicine Physician |
| RN138164 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murfreesboro Anesthesia Group, P.a. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia & Pain Specialists of Bowling Green PLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
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
- Bowling Green, KY
- NPI 1548253107
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Murfreesboro, TN
- NPI 1912959867
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1801849872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PARK ST",
"address_2": "STE 203 B",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011784",
"telephone_number": "270-393-1912",
"fax_number": "270-393-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011760",
"telephone_number": "270-393-1912",
"fax_number": "270-393-1913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYTE",
"first_name": "CLIFTON",
"middle_name": "TODD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN138164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3632733",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4084215",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00390653",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000000502687",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.