Individual provider Active NPI

Colleen Killian, CRNA

  • Certified Registered Nurse Anesthetist
  • Blue Springs, MO
National Provider Identifier
1942300520
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
058857 Issued in MO
Practice address
1209 NW North Ridge Dr Ste B
Anesthesia Services of Blue Springs
Blue Springs, MO 64015-6320
Phone
(816) 988-8415
Fax
(816) 988-8395
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 058857 MO Primary

Addresses

Primary practice location

1209 NW North Ridge Dr Ste B
Anesthesia Services of Blue Springs
Blue Springs, MO 64015-6320

Mailing address

1209 NW North Ridge Dr Ste B
Anesthesia Services of Blue Springs
Blue Springs, MO 64015-6320
Phone (816) 988-8415

Other identifiers 1

IdentifierTypeStateIssuer
912800034MedicaidMO

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
058857MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Curators of the University of Missouri Past Accepting new patients
Anesthesia Services of Eastern Jackson County, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1942300520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 NW NORTH RIDGE DR STE B",
            "address_2": "ANESTHESIA SERVICES OF BLUE SPRINGS",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156320",
            "telephone_number": "816-988-8415",
            "fax_number": "816-988-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 NW NORTH RIDGE DR STE B",
            "address_2": "ANESTHESIA SERVICES OF BLUE SPRINGS",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156320",
            "telephone_number": "816-988-8415",
            "fax_number": "816-988-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "COLLEEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "058857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912800034",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.