Individual provider Active NPI

Rhonda Parker Grisham, CRNA

  • Certified Registered Nurse Anesthetist
  • Sand Springs, OK
National Provider Identifier
1952335473
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0084504 Issued in OK
Practice address
4737 S 209TH West Ave
Sand Springs, OK 74063-4656
Phone
(918) 408-8151
Fax
(918) 745-9750
NPI assigned
Jul 10, 2006
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 R0084504 OK Primary

Addresses

Primary practice location

4737 S 209TH West Ave
Sand Springs, OK 74063-4656

Mailing address

4808 S 109TH East Ave
Tulsa, OK 74146-5822
Phone (918) 742-2502

Other identifiers 2

IdentifierTypeStateIssuer
900522349OtherOKMEDICARE GROUP PIN
200091060AMedicaidOK

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040617000005 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426954959 Reassigns benefits to 1 organization
I20061005000241 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426954959 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians
Premier Anesthesia of Arkansas Professional CorporationGroup PAC ID 6406077460, 87 clinicians
Sooner Anesthesia Services LLCGroup PAC ID 7416919899, 18 clinicians

Practice addresses (Care Compare)

3029 W Main St
Jenks, OK 74037-3465
Phone (918) 701-2300

3215 N N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-1000

3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 333-7200

4808 S 109TH E Ave
Tulsa, OK 74146-5822
Phone (918) 742-2502

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
603HIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Northstar Anesthesia of Oklahoma, PLLC CurrentSince Jan 19, 2023 Accepting new patients
Olympia Anesthesia, PLC CurrentSince Nov 1, 2023 Accepting new patients
Sage Anesthesia Services Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Southcrest Anesthesia Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Baptist Memorial Hospital-Jonesboro Inc Past Accepting new patients
Northeast Arkansas Health System LLC Past Accepting new patients
Associated Anesthesiologists, Inc. Past Accepting new patients

Locations

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

4808 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1513

6901 S Olympia Ave
Tulsa, OK 74132
Phone (918) 388-5701

7191 S Yale Ave
Tulsa, OK 74136
Phone (417) 782-6571

Organizations & group practices 11

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 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1952335473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 S 109TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465822",
            "telephone_number": "918-742-2502",
            "fax_number": "918-745-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 S 209TH WEST AVE",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740634656",
            "telephone_number": "918-408-8151",
            "fax_number": "918-745-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "RHONDA",
        "middle_name": "PARKER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0084504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "900522349",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200091060A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.