Elizabeth Kudirka, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Birmingham, AL
NPI 1043877095 · NPPES record last updated May 24, 2019
Key facts
- NPI
- 1043877095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 1-146340 (AL)
- Practice address
- 810 Saint Vincents Dr
Birmingham, AL 35205-1601 - Phone
- (205) 939-7143
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Alabama Health Services Foundation, PC
Anesthesiologists Associated PC
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925
Hospital & facility affiliations
- St Vincent'S Birmingham
- Grandview Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190802001777 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0749517449 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-146340 | AL | Yes |
Addresses
Primary practice location
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Mailing address
1919 Oxmoor Rd # 111
Birmingham, AL 35209-3502
Phone (205) 939-7143
NPI Registry JSON
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1043877095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 OXMOOR RD # 111",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352093502",
"telephone_number": "205-939-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 SAINT VINCENTS DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051601",
"telephone_number": "205-939-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDIRKA",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-146340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
- Deepika Kubsad
- Celia Vitale Kucera
- Dennis F Kucik
- Ali Cem Kucukdagli
- Jeremy Kuder
- Pongsathorn Kue-a-Pai
- Taylor Kuhlman
- Mary Kuira
- Andrew Kuklinski
- Jessica Kuklo
All providers in Birmingham, AL · Certified Registered Nurse Anesthetist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.