| Lara Kjurston Knowles, CRNA | |
|
400 W 16th St, Pueblo, CO 81003-2745 | |
| (719) 584-4000 | |
| Not Available |
| Full Name | Lara Kjurston Knowles |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 400 W 16th St, Pueblo, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023520806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 259162 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C-APN.0000902-C-CRNA (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Valley Regional Anesthesia Associates Inc | 3870964323 | 152 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Entity Name | Intermountain Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558304329 PECOS PAC ID: 5193638781 Enrollment ID: O20040825000367 |
| Entity Name | Madison Avenue Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1225488216 PECOS PAC ID: 0244524395 Enrollment ID: O20160811002150 |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Kjurston Knowles, CRNA 2060 N 50th E, Idaho Falls, ID 83401-5784 Ph: (208) 313-0428 | Lara Kjurston Knowles, CRNA 400 W 16th St, Pueblo, CO 81003-2745 Ph: (719) 584-4000 |
Jamie Yi, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Malena Calle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-7305 | |
Michael R. Herron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-560-5717 | |
Elizabeth Dias Morphis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-584-4000 | |
Mr. James Guzan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 112 W D St, Suite 210a, Pueblo, CO 81003 Phone: 330-442-3547 | |
Mr. Kristopher A. Black, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1008 Minnequa Ave, Or/anesthesiology, Pueblo, CO 81004 Phone: 719-557-3824 Fax: 719-557-3834 |