Active NPI
Kayleigh Driscoll, CRNA
- Certified Registered Nurse Anesthetist
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024174460
- Practice address
- 620 John Paul Jones Cir
Portsmouth, VA 23708-2111 - Phone
- (757) 642-6227
- NPI assigned
- Jan 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001224728 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024174460 | VA | Primary |
Addresses
Primary practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
1068 Scenic Blvd
Chesapeake, VA 23322-7323
Phone (757) 642-6227
Other practice location 1
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001224728 | VA | MD | Registered Nurse |
| 0024174460 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMG Anesthesia Specialists LLC | Current | Accepting new patients | |
| Atlantic Anesthesia, Inc | Current | Accepting new patients |
Locations
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000
2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044
Organizations & group practices 2
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
- Virginia Beach, VA
- NPI 1720181514
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1043756547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 SCENIC BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233227323",
"telephone_number": "757-642-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-642-6227"
}
],
"practiceLocations": [
{
"address_1": "600 Gresham Dr",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "23507",
"country_code": "US",
"telephone_number": "757-473-0055",
"fax_number": "757-473-0075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRISCOLL",
"first_name": "KAYLEIGH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-09",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001224728",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024174460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.