TERRY KEITH BLUE CRNA
NPI 1114909991
Nurse Anesthetist, Certified Registered in Andover, KS
NPI Status: Active since November 16, 2005
Contact Information
1108 E WATERVIEW DR
ANDOVER, KS
ZIP 67002
Phone: (316) 425-8153
Fax: (316) 425-8153
- Individual
- Male
- Nurse Anesthetist, Certified Registered
About TERRY BLUE
This page provides the complete NPI Profile along with additional information for Terry Blue, a provider established in Andover, Kansas with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1114909991 assigned on November 2005. The practitioner's primary taxonomy code is 367500000X with license number ARNP3243142 (FL). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1114909991
- Provider Name
- TERRY KEITH BLUE CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1108 E WATERVIEW DR ANDOVER, KS 67002
- Location Phone
- (316) 425-8153
- Location Fax
- (316) 425-8153
- Mailing Address
- 1108 E WATERVIEW DR ANDOVER, KS 67002
- Mailing Phone
- (316) 425-8153
- Mailing Fax
- (316) 425-8153
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-16-2005
- Last Update Date
- 10-13-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- ARNP3243142
- License State
- FL
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G2655 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | |
| 100252100A | MEDICAID (05) | KS | |
| 110017025 | MEDICARE PIN (08) | KS | |
| 430056874 | MEDICAID (05) | FL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 9 | 0 | 9 | 9 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 0 | 18 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 8 + 9 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1114909991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114909991, enumerated in the NPI registry as an "individual" on November 16, 2005
The provider is located at 1108 E Waterview Dr Andover, Ks 67002 and the phone number is (316) 425-8153
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 16, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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