Individual provider Active NPI

Lawrence Keister, RN, BSN, MSN, CRNA

  • Certified Registered Nurse Anesthetist
  • Gilbert, AZ
National Provider Identifier
1942488838
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
316241 Issued in OH
Practice address
4096 E Claxton Ave
Gilbert, AZ 85297-4902
Phone
(480) 636-8668
Fax
(480) 636-8668
NPI assigned
Feb 4, 2008
Last updated
Dec 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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 316241 OH Primary

Addresses

Primary practice location

4096 E Claxton Ave
Gilbert, AZ 85297-4902

Mailing address

4096 E Claxton Ave
Gilbert, AZ 85297-4902
Phone (480) 636-8668

Other identifiers 1

IdentifierTypeStateIssuer
316241OtherOHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170814001895 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446339790 Reassigns benefits to 1 organization
I20210901001077 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446339790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Anesthesia Group PSCGroup PAC ID 4082527890, 38 clinicians

Practice addresses (Care Compare)

9 Linville Rd
Paris, KY 40361-2129
Phone (859) 987-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
316241OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince May 27, 2021 Accepting new patients
North Canyon Medical Center Inc. CurrentSince Nov 5, 2017 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Nov 5, 2017 Accepting new patients
Twin Falls Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

115 Falls Ave W
Twin Falls, ID 83301
Phone (208) 732-8784

1502 Locust St N
Ste 100
Twin Falls, ID 83301
Phone (208) 529-6600

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

275 Highway 770
Corbin, KY 40701
Phone (606) 526-7874

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1942488838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4096 E CLAXTON AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852974902",
            "telephone_number": "480-636-8668",
            "fax_number": "480-636-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4096 E CLAXTON AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852974902",
            "telephone_number": "480-636-8668",
            "fax_number": "480-636-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISTER",
        "first_name": "LAWRENCE",
        "credential": "RN, BSN, MSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "316241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "316241",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.

Verify at the official NPI Registry.