Individual provider Active NPI

Agina M. Kempen, CRNA

  • Certified Registered Nurse Anesthetist
  • Broadview Heights, OH
National Provider Identifier
1063477842
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 245303 Issued in OH
Practice address
340 Countryside Dr
Broadview Heights, OH 44147-3412
Phone
(412) 860-1976
NPI assigned
Apr 17, 2006
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN 245303 OH Primary

Addresses

Primary practice location

340 Countryside Dr
Broadview Heights, OH 44147-3412

Mailing address

340 Countryside Dr
Broadview Heights, OH 44147-3412
Phone (412) 860-1976

Other names 1

  • Agina M. Becker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 245303OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New Pointes Anesthesia and Pain, L.L.C. Past Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates, PLL PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1063477842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 COUNTRYSIDE DR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473412",
            "telephone_number": "412-860-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COUNTRYSIDE DR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473412",
            "telephone_number": "412-860-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPEN",
        "first_name": "AGINA",
        "middle_name": "M.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN 245303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGINA",
            "last_name": "BECKER",
            "middle_name": "M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.