Jenny Beth Kimberly, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

309-002631 Issued in IL

Practice address

8401 N Rushville Rd
Carthage, IN 46115-9771

Phone

(847) 612-2199

NPI assigned

Jul 31, 2006

Last updated

Oct 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Westview Anesthesia Group, LLC

  • Anesthesiology Physician
  • Indianapolis, IN
  • NPI 1780634147
  NPD (past)
• Orion Anesthesia Associates, PC

  dba Ambulatory Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Park Ridge, IL
  • NPI 1124079371

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351382400000",
    "number": "1083620264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 N RUSHVILLE RD",
            "city": "CARTHAGE",
            "state": "IN",
            "postal_code": "461159771",
            "telephone_number": "847-612-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 N RUSHVILLE RD",
            "city": "CARTHAGE",
            "state": "IN",
            "postal_code": "461159771",
            "telephone_number": "847-612-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLY",
        "first_name": "JENNY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "309-002631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Wayne Burrus, LCSW
• Carthage Volunteer Fire Department of Rush County Inc
• Teresa Gorman, OTR/L
• Reset Family Solutions, LLC
• Lisa Wrightsman, FNP

• Certified Registered Nurse Anesthetist in Carthage, IN
• Providers in Carthage, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2012; 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.