Active NPI
Kim Price, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
National Provider Identifier
1104845825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209004036
- Practice address
- 979 E 3Rd St # C300
Chattanooga, TN 37403-2136 - Phone
- (815) 932-0789
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 209004036 | IL | Primary |
Addresses
Primary practice location
979 E 3Rd St # C300
Chattanooga, TN 37403-2136
Mailing address
841 Split Rock TRL
Hixson, TN 37343-1977
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Associates of Illinois, S.C. | Single Specialty | Past | Accepting new patients |
| Madison Avenue Anesthesia Placement Services | Single Specialty | Past | Accepting new patients |
| Tippecanoe Anesthesia Services LLC | Single Specialty | Past | Accepting new patients |
| Deerpath Ambulatory Surgical Center, LLC | Past | Accepting new patients | |
| Southwest Anesthesia Consultants, LLC | Single Specialty | Past | Accepting new patients |
| Allied Anesthesia Associates, P.C. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
Single Specialty
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
Single Specialty
-
- Ambulatory Surgical Clinic/Center
- Morris, IL
- NPI 1215040464
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1053473041
Single Specialty
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1033488283
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1104845825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 SPLIT ROCK TRL",
"city": "HIXSON",
"state": "TN",
"postal_code": "373431977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "979 E 3RD ST # C300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032136",
"telephone_number": "815-932-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "KIM",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209004036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.