Individual provider Active NPI

Luana D Booth, CRNA

  • Certified Registered Nurse Anesthetist
  • Harrison, AR
National Provider Identifier
1962693218
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C02678 Issued in AR
Practice address
620 North Main
Harrison, AR 72601-2911
Phone
(870) 414-4000
NPI assigned
Aug 1, 2007
Last updated
Nov 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R28946 AR
Certified Registered Nurse Anesthetist 367500000X C02678 AR Primary

Addresses

Primary practice location

620 North Main
Harrison, AR 72601-2911

Mailing address

PO Box 432
Mountain Home, AR 72654-0432
Phone (870) 424-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080128000775 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981786050 Reassigns benefits to 2 organizations
I20080509000643 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981786050 Reassigns benefits to 1 organization
I20250313000026 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981786050 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
Triangle Anesthesia Group, PSCGroup PAC ID 9436161585, 77 clinicians
Missouri HB Medical Services LLCGroup PAC ID 2668813197, 77 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 886-8511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C02678ARMDCertified Registered Nurse Anesthetist
R28946ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Anesthesia Group PSC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Nov 5, 2016 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
Asag, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Jan 4, 2021 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Nov 5, 2016 Accepting new patients
Outpatient Surgery Center, Inc. CurrentSince May 6, 2024 Accepting new patients
Baxter County Regional Hospital Inc Past Accepting new patients
River Valley Anesthesia Associates, P. a. Past Accepting new patients

Locations

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

620 N Main St
#2
Harrison, AR 72601
Phone (870) 414-4000

620 N Main St
Fl Second
Harrison, AR 72601
Phone (870) 414-4000

620 N Willow St
Harrison, AR 72601
Phone (870) 365-2000

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

160 Highway 201 N
Mountain Home, AR 72653
Phone (870) 508-2100

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

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

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

Organizations & group practices 10

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1962693218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726540432",
            "telephone_number": "870-424-7070",
            "fax_number": "870-424-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NORTH MAIN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012911",
            "telephone_number": "870-414-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "LUANA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "R28946",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C02678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.