Individual provider Active NPI

Tracy Turner King, CRNA

  • Certified Registered Nurse Anesthetist
  • Shreveport, LA
National Provider Identifier
1952062093
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1137442 Issued in TX
Practice address
2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone
(318) 212-4000
NPI assigned
Dec 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 136392 LA
Certified Registered Nurse Anesthetist 367500000X 1137442 TX Primary

Addresses

Primary practice location

2600 Greenwood Rd
Shreveport, LA 71103-3908

Mailing address

903 Delaware St
Shreveport, LA 71106-1503
Phone (318) 218-5645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220901001909 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486038999 Reassigns benefits to 1 organization
I20231129001215 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486038999 Reassigns benefits to 2 organizations

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
Texas Anesthesia Partners, PLLCGroup PAC ID 3870879828, 27 clinicians
Grasshopper Anesthesia Services PLLCGroup PAC ID 3072882315, 70 clinicians

Practice addresses (Care Compare)

1403 Dartmouth Dr
Southlake, TX 76092-7104
Phone (817) 917-9582

320 N Main St
Lockney, TX 79241-9999
Phone (806) 652-3373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
72.83
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
136392LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Willis Knighton Medical Center Inc. Crna Group Anesthesiology CurrentSince May 21, 2022 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 27, 2023 Accepting new patients
Med-Trans Corporation Past Accepting new patients

Locations

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

5929 Balcones Dr
Ste 200
Austin, TX 78731
Phone (512) 222-5856

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

600 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-5571

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300

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

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

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

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

2400 N Stallings Dr
Ste 405
Nacogdoches, TX 75964

3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411

3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

1434 W US Highway 287 Byp
Ste 100
Waxahachie, TX 75165
Phone (469) 940-4030

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1952062093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 DELAWARE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061503",
            "telephone_number": "318-218-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033908",
            "telephone_number": "318-212-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TRACY",
        "middle_name": "TURNER",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "136392",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1137442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.