Michele Constance Kenny, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

004084 Issued in CT

Practice address

164 Lake Ridge Rd
Southbury, CT 06488-4161

Phone

(203) 264-9110

Fax

(203) 841-1252

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Michele Constance Mora Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117
  NPD (past)
• Waterbury Anesthesiology Assoc. Inc

  • Anesthesiology Physician
  • Waterbury, CT
  • NPI 1780631960
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1013169234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 LAKE RIDGE RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884161",
            "telephone_number": "203-264-9110",
            "fax_number": "203-841-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 LAKE RIDGE RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884161",
            "telephone_number": "203-264-9110",
            "fax_number": "203-841-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "MICHELE",
        "middle_name": "CONSTANCE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "004084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "MORA",
            "middle_name": "CONSTANCE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Jean Keeler, LPC
• Cameron Keeley
• Victoria Elizabeth Kelsen
• Jennie L Kempf, LMFT
• Katelyn Kennedy
• Perry Stuart Kest, DDS
• Stephen Eric Kest, DMD
• Masooma R Khan, RPH
• Alison Kichar, MS PT
• Barbara A. Kilkenny, D.P.M.

• Certified Registered Nurse Anesthetist in Southbury, CT
• Providers in Southbury, CT by specialty
• Certified Registered Nurse Anesthetist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.