Kimberly Jo Alexander, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Salisbury, NC
NPI 1104858299 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104858299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 43119 (NC)
- Practice address
- 612 Mocksville Ave
Salisbury, NC 28144-2732 - Phone
- (704) 210-5661
- Fax
- (704) 210-5660
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 43119 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Rowan Medical Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 43119 | NC | Yes |
Addresses
Primary practice location
612 Mocksville Ave
Salisbury, NC 28144-2732
Mailing address
220 Ferncliff Dr
Salisbury, NC 28147-7211
Phone (704) 636-1420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8050434 | Medicaid | NC |
Other providers in Salisbury, NC
- Olugbenga Francis Akinwuntan
- Shekeia Arnae' Al-Amin
- Glen Albracht
- Jennifer Hartsell Alderman
- Aayla Alexander
- Latoya Alexander
- Robert Lipscomb Alexander
- Angela Alford
- Tiffany Joi Algarin
- Allen Affordable and Reliable Non-Emergency Transportation, LLC
All providers in Salisbury, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.