Provider Demographics
NPI:1942283395
Name:LARABEE, KRISTI LEIGH (CRNA)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LEIGH
Last Name:LARABEE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:
Other - Last Name:SIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1075 KINGWOOD DR STE 150
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3003
Mailing Address - Country:US
Mailing Address - Phone:281-358-8114
Mailing Address - Fax:281-358-8114
Practice Address - Street 1:5445 LA BRANCH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6835
Practice Address - Country:US
Practice Address - Phone:281-618-8500
Practice Address - Fax:281-618-8636
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251028367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88544401Medicaid
TX80221COtherBC/BS
TX88544401Medicaid
TX80221CMedicare PIN