Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlin Booth, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1225553563

Kaitlin Booth, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Pueblo, Colorado. Qualified in 2017, 9 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

400 W 16th St
Pueblo, CO 81003-2745
Phone: (719) 583-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 117633 (UT)

Record details

NPI number1225553563
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESSeptember 20, 2020
Certification dateSeptember 20, 2020
Mailing address1816 Bonforte Blvd, Pueblo, CO 81001-1740

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pueblo