Active NPI
Kendall Sierra Macdonald, RN
- Certified Registered Nurse Anesthetist
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1030088
- Practice address
- 6225 N State Highway 161 Ste 200
Irving, TX 75038-2241 - Phone
- (214) 687-0001
- NPI assigned
- Feb 10, 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 | RN708667 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 1030088 | TX | Primary |
Addresses
Primary practice location
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Mailing address
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Phone (214) 687-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA, CA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220331003000 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143616037 | Reassigns benefits to 3 organizations |
| I20230807003512 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143616037 | Reassigns benefits to 1 organization |
| I20241224000257 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0143616037 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Anesthesia Associates PC
Practice addresses (Care Compare)
1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 832-3311
Hospital & facility affiliations
- Providence Little Co of Mary Med Ctr San Pedro
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia II PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738
3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400
7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400
621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
Organizations & group practices 5
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
- San Pedro, CA
- NPI 1932742905
CA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Burleson, TX
- NPI 1477066405
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Pedro, CA
- NPI 1497241541
Hospital
-
- General Acute Care Hospital
- San Pedro, CA
- NPI 1942247291
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1821680976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6225 N STATE HIGHWAY 161 STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382241",
"telephone_number": "214-687-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6225 N STATE HIGHWAY 161 STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382241",
"telephone_number": "214-687-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "KENDALL",
"middle_name": "SIERRA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-10",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN708667",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1030088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.