Individual provider Active NPI

Kristin B. Yurth, CRNA, FNP-C

  • Certified Registered Nurse Anesthetist
  • Saint Joseph, MO
National Provider Identifier
1902150543
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2012032157 Issued in MO
Practice address
3904 Beck Rd Ste 150
Saint Joseph, MO 64506-5037
Phone
(816) 279-3338
NPI assigned
Nov 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-83178-112 KS
Certified Registered Nurse Anesthetist 367500000X 2012032157 MO Primary

Addresses

Primary practice location

3904 Beck Rd Ste 150
Saint Joseph, MO 64506-5037

Mailing address

308 W Main St
Highland, KS 66035-4138
Phone (816) 262-5608

Other practice location 1

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6350

Other practice location 2

308 W Main St
Highland, KS 66035-4138
Phone (785) 377-6281

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
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
53-83178-112KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C. Paolillo,Ddspc PastSince Jun 9, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1902150543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W MAIN ST",
            "city": "HIGHLAND",
            "state": "KS",
            "postal_code": "660354138",
            "telephone_number": "816-262-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 BECK RD STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645065037",
            "telephone_number": "816-279-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-6350",
            "fax_number": "816-271-6753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 W Main St",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "KS",
            "postal_code": "660354138",
            "country_code": "US",
            "telephone_number": "785-377-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YURTH",
        "first_name": "KRISTIN",
        "middle_name": "B.",
        "credential": "CRNA, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83178-112",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2012032157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.