Kenneth Hurd Picillo, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

174761 Issued in CO

Practice address

1311 N Mildred Rd
Cortez, CO 81321-2231

Phone

(970) 565-6666

NPI assigned

Jul 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Alta Anesthesia P. C.

  • Certified Registered Nurse Anesthetist
  • Cortez, CO
  • NPI 1912930918
  Authorized official Same address or phone
• Anesthesia Consulting Services, PA

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1518070416
  NPD (past)
• Rocky Mountain Anesthesiology, PC

  • Anesthesiology Physician
  • Ogden, UT
  • NPI 1487683215
  NPD (past)
• United Hospital Center, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Bridgeport, WV
  • NPI 1376590786
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972536977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813211589",
            "telephone_number": "801-557-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICILLO",
        "first_name": "KENNETH",
        "middle_name": "HURD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "174761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Payne-Lake
• Jenna Pearce, RN
• John R. Pearsall, M.D.
• Monte Yukio Pescador, LPCC, ACMHC
• John G Petty, MD
• Herb B Pike, P.T.
• Kari Plante, RDH
• Renee Ann Podunovich, M.A., LPC
• Della Louise Pope
• Allison Mae Porter-Prieskorn, FNP-C

• Certified Registered Nurse Anesthetist in Cortez, CO
• Providers in Cortez, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.