NPIMap

Organization Active NPI

Grasshopper Anesthesia Services PLLC

  • Certified Registered Nurse Anesthetist
  • Nacogdoches, TX
National Provider Identifier
1932635752
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GRASSHOPPER ANESTHESIA SERVICES PLLC
Practice address
3610 N University Dr
Nacogdoches, TX 75965-2539
Phone
(936) 560-9599
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Kendra Stockman, CRNANPI 1316097579
Title
Owner
Phone
(903) 752-0395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

3610 N University Dr
Nacogdoches, TX 75965-2539

Mailing address

4865 County Road 260
Nacogdoches, TX 75965-7016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170630000438 TX Part B Supplier - Clinic/Group Practice 3072882315 Receives reassigned benefits from 116 practitioners
Practice locations: Nacogdoches, TX; Marshall, TX; Mansfield, TX; Longview, TX; Lockney, TX; Llano, TX; Gonzales, TX; Eagle Lake, TX…
O20250107002626 OK Part B Supplier - Clinic/Group Practice 3072882315 Receives reassigned benefits from 8 practitioners
Practice locations: Elk City, OK

National Provider Directory

National Provider Directory

Locations

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

2400 N Stallings Dr
#405
Nacogdoches, TX 75964
Phone (936) 622-0598

Practitioners & affiliated clinicians

Practitioners 126

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 126

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1932635752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 COUNTY ROAD 260",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759657016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-560-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASSHOPPER ANESTHESIA SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "STOCKMAN",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-752-0395",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.

Verify at the official NPI Registry.