Active NPI
Regina L Viviano, CRNA
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2013032668
- Practice address
- 12634 Olive Blvd
Dept Anesthesiology
Saint Louis, MO 63141-6337 - Phone
- (800) 862-9980
- Fax
- (314) 362-1185
- NPI assigned
- Feb 28, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2013032668 | MO | Primary |
Addresses
Primary practice location
12634 Olive Blvd
Dept Anesthesiology
Saint Louis, MO 63141-6337
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (800) 862-9980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910155979 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013032668 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Memorial Medical Center | Current | Accepting new patients | |
| Memorial Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122
305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310
211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214
12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785
1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 396-9517
5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 207-8939
4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607
9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
100 Entrance Way
Saint Peters, MO 63376
Phone (363) 916-7140
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
Organizations & group practices 4
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
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1255393112
Nurse Anesthetist, Certified Registered
-
- Audiologist
- Springfield, IL
- NPI 1679549968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1821362500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12634 OLIVE BLVD",
"address_2": "DEPT ANESTHESIOLOGY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416337",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVIANO",
"first_name": "REGINA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2013032668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910155979",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "12634 Olive Blvd",
"address_2": "Dept Anesthesiology",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631416337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.