Individual provider Active NPI

Rees E. Feeback, CRNA

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
National Provider Identifier
1073970117
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3010000 Issued in KY
Practice address
3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone
(859) 236-3726
Fax
(859) 236-3019
NPI assigned
Jan 20, 2016
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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 3010000 KY Primary

Addresses

Primary practice location

3480 Yorkshire Medical Park
Lexington, KY 40509-1886

Mailing address

223 Executive Park
Louisville, KY 40207-4202
Phone (502) 907-0356

Other identifiers 1

IdentifierTypeStateIssuer
7100398530MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160126000506 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870896855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Anesthesia of the Bluegrass, PLLCGroup PAC ID 4880598788, 7 clinicians

Practice addresses (Care Compare)

1210 Ky Hwy 36 E
Cynthiana, KY 41031-7498
Phone (859) 268-1030

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Anesthesia of the Bluegrass, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2016 Accepting new patients
Danville Anesthesia Associates, LLP Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2020 Accepting new patients

Locations

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

223 Executive Park
Louisville, KY 40207

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1073970117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074202",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091886",
            "telephone_number": "859-236-3726",
            "fax_number": "859-236-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEBACK",
        "first_name": "REES",
        "middle_name": "E.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3010000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100398530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.