Active NPI
Kimberly Karla Matthews, CRNA
- Certified Registered Nurse Anesthetist
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2095
- Practice address
- 555 E Cheves St
Florence, SC 29506-2617 - Phone
- (843) 777-8752
- Fax
- (843) 777-8705
- NPI assigned
- Mar 25, 2006
- Last updated
- Nov 16, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN2095 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 2095 | SC | Primary |
Addresses
Primary practice location
555 E Cheves St
Florence, SC 29506-2617
Mailing address
3100 Spring Forest Rd
Suite 130
Raleigh, NC 27616-2880
Phone (919) 882-0705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1310 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2095 | SC | MD | Chiropractor |
| APN2095 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Under Anesthesia | Current | Accepting new patients | |
| Florence Surgery & Laser Center LLC | Current | Accepting new patients | |
| Coastal Healthcare Resources Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| Carolina Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Medical Center-Dillon | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Florence Surgery & Laser Center LLC | Current | Accepting new patients | |
| McLeod Physician Associates II | Current | Accepting new patients | |
| Lighthouse Anesthesiology of South Carolina, PA | Past | Accepting new patients | |
| Pain Management, LLC | Past | Accepting new patients | |
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Jay Godines, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
1204 E Cheves St
Florence, SC 29506
Phone (843) 673-0122
400 N Cashua Dr
Florence, SC 29501
Phone (843) 664-9398
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
700 S Parker Dr
Ste 7
Florence, SC 29501
Phone (843) 649-3251
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
5 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 272-3409
500 Nelson Blvd
Kingstree, SC 29556
Phone (843) 354-9661
200 E Hospital St
Manning, SC 29102
Phone (803) 433-0439
3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941
101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194
420 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-4402
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.
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
-
- Anesthesiology Physician
- Florence, SC
- NPI 1467635128
Nurse Anesthetist, Certified Registered
-
- Ophthalmologic Surgery Clinic/Center
- Florence, SC
- NPI 1912959560
-
dba McLeod Dillon Emergency
- Hospitalist Physician
- Dillon, SC
- NPI 1720033988
Nurse Anesthetist, Certified Registered
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sumter, SC
- NPI 1194018242
-
- Anesthesiology Physician
- Statesville, NC
- NPI 1699723791
Nurse Anesthetist, Certified Registered, SC
-
- Ambulatory Surgical Clinic/Center
- Florence, SC
- NPI 1437319027
-
- Medicare Defined Swing Bed Hospital Unit
- Dillon, SC
- NPI 1124487541
-
dba McLeod Psychiatric Associates
- Psychiatry Physician
- Darlington, SC
- NPI 1629189766
-
dba McLeod Orthopaedics - Florence
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
dba McLeod Outpatient Pharmacy
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Manning, SC
- NPI 1205284411
-
dba Loris Community Hospital
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1114987823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD",
"address_2": "SUITE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "919-882-0705",
"fax_number": "919-873-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062617",
"telephone_number": "843-777-8752",
"fax_number": "843-777-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "KIMBERLY",
"middle_name": "KARLA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-25",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "APN2095",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "2095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1310",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.