Active NPI
Kevin M Knopp, CRNA
- Certified Registered Nurse Anesthetist
- Coeur d'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA-880A
- Practice address
- 2003 Kootenai Health Way
Coeur D Alene, ID 83814 - Phone
- (208) 625-4000
- NPI assigned
- May 6, 2008
- Last updated
- Jul 17, 2018
- Sex
- Male
- 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 | RNA-880A | ID | Primary |
Addresses
Primary practice location
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Mailing address
2204 Ironwood PL Ste B
Coeur D Alene, ID 83814-2662
Phone (800) 394-4445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RNA-880A | Other | ID | IDAHO LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, CA, WA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801
1624 E Mullan Ave
Post Falls, ID 83854-5326
Phone (208) 770-2000
275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111
30544 Hwy 200
Suite 201
Ponderay, ID 83852-5005
Phone (208) 265-8194
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001668 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Management Services of California Inc | Anesthesiology | Current | Accepting new patients |
| Shoshone Medical Center | Current | Accepting new patients | |
| Comfort Anesthesia Associates Inc | Anesthesiology | Current | Accepting new patients |
| Northwest Anesthesia Specialists | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Willits Hospital Inc. | Current | Accepting new patients | |
| Knopp Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Klickitat County Public Hospital District No 1 | Current | Accepting new patients | |
| Klickitat County Public Hospital District No 1 | Current | Accepting new patients | |
| Shoshone Medical Center | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Klickitat County Public Hospital District No 1 | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Anesthesia Associates of Coeur D Alene PLLC | Anesthesiology | Current | Accepting new patients |
| Mid West Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Kaydee | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110
36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189
245 Hospital Dr
Ukiah, CA 95482
Phone (707) 463-7333
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001
6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
2204 N Ironwood Pl
Ste B
Coeur D Alene, ID 83814
Phone (208) 765-8585
707 W Ironwood Dr
Coeur D Alene, ID 83814
Phone (208) 625-6400
25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221
30544 Highway 200
Ste 201
Ponderay, ID 83852
Phone (208) 265-8194
1624 E Mullan Ave
Post Falls, ID 83854
Phone (208) 770-2000
310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/
Organizations & group practices 16
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.
-
- Certified Registered Nurse Anesthetist
- Post Falls, ID
- NPI 1285475418
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ukiah, CA
- NPI 1003458704
-
dba Adventist Health Howard Memorial
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
-
- Anesthesiology Physician
- Coeur d'Alene, ID
- NPI 1962440966
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
- Certified Registered Nurse Anesthetist
- Ponderay, ID
- NPI 1376391581
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1043466550
-
dba Klickitat Valley Health
- Critical Access Hospital
- Goldendale, WA
- NPI 1386689487
-
dba KVH Family Medicine
- Clinic/Center
- Goldendale, WA
- NPI 1467530915
-
- Certified Registered Nurse Anesthetist
- Cody, WY
- NPI 1881849644
Nurse Anesthetist, Certified Registered
-
dba Boundary Community Clinics
- Rural Health Clinic/Center
- Bonners Ferry, ID
- NPI 1801273552
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
dba Adventist Health Howard Memorial
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1114193489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 IRONWOOD PL STE B",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142662",
"telephone_number": "800-394-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "208-625-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOPP",
"first_name": "KEVIN",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA-880A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO LICENSE",
"identifier": "RNA-880A",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.