Active NPI
Elizabeth L King, CRNA
- Certified Registered Nurse Anesthetist
- Richmond, VA
National Provider Identifier
1104820992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024098134
- Practice address
- 10800 Midlothian Tpke
Suite 265
Richmond, VA 23235-4724 - Phone
- (804) 594-2622
- Fax
- (804) 594-0915
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024098134 | VA | Primary |
Addresses
Primary practice location
10800 Midlothian Tpke
Suite 265
Richmond, VA 23235-4724
Mailing address
10800 Midlothian Tpke
Suite 265
Richmond, VA 23235-4724
Phone (804) 594-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110217000906 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1557542974 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024098134 | VA | MD | Certified Registered Nurse Anesthetist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1104820992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 MIDLOTHIAN TPKE",
"address_2": "SUITE 265",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232354724",
"telephone_number": "804-594-2622",
"fax_number": "804-594-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 MIDLOTHIAN TPKE",
"address_2": "SUITE 265",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232354724",
"telephone_number": "804-594-2622",
"fax_number": "804-594-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ELIZABETH",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024098134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.