Active NPI
Alyssa Leigh Kimmy, CRNA
- Certified Registered Nurse Anesthetist
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 606209
- Practice address
- 201 State St
Erie, PA 16550-0002 - Phone
- (814) 877-2621
- NPI assigned
- Apr 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 606209 | PA | Primary |
Addresses
Primary practice location
201 State St
Erie, PA 16550-0002
Mailing address
78 Catawba Dr
North East, PA 16428-1406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 State St
Erie, PA 16507-1420
Phone (814) 453-3900
Hospital & facility affiliations
- Upmc Hamot
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606209 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
200 State St
Erie, PA 16507
Phone (814) 453-3900
201 State St
Erie, PA 16550
Phone (814) 877-2137
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1003341165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 CATAWBA DR",
"city": "NORTH EAST",
"state": "PA",
"postal_code": "164281406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165500002",
"telephone_number": "814-877-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMY",
"first_name": "ALYSSA",
"middle_name": "LEIGH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-26",
"last_updated": "2021-03-23",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "606209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.