Jenny Beth Kimberly, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Carthage, IN
NPI 1083620264 · NPPES record last updated Oct 28, 2012
Key facts
- NPI
- 1083620264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 309-002631 (IL)
- Practice address
- 8401 N Rushville Rd
Carthage, IN 46115-9771 - Phone
- (847) 612-2199
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309-002631 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orion Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Westview Anesthesia Group, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 309-002631 | IL | Yes |
Addresses
Primary practice location
8401 N Rushville Rd
Carthage, IN 46115-9771
Mailing address
8401 N Rushville Rd
Carthage, IN 46115-9771
Phone (847) 612-2199
Other providers in Carthage, IN
- Gerald Wayne Burrus
- Carthage Volunteer Fire Department of Rush County Inc
- Teresa Gorman
- Reset Family Solutions, LLC
- Lisa Wrightsman
All providers in Carthage, IN · Certified Registered Nurse Anesthetist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.