Individual provider Active NPI

Kimberly J Covington, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Paducah, KY
National Provider Identifier
1164551156
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3002549 Issued in KY
Practice address
225 Medical Center Dr
Suite 105
Paducah, KY 42003-7914
Phone
(270) 441-4500
Fax
(270) 441-4289
NPI assigned
Mar 5, 2007
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3002549 KY Primary

Addresses

Primary practice location

225 Medical Center Dr
Suite 105
Paducah, KY 42003-7914

Mailing address

PO Box 636961
Cincinnati, OH 45263-6961
Phone (513) 981-5130

Other identifiers 4

IdentifierTypeStateIssuer
000000359108OtherKYKY BCBS IND
P01099559OtherKYRAIL ROAD MEDICARE
74483249MedicaidKY
000000543460OtherKYBC KY

Other names 1

  • Kimberly J West Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000774 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183661135 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell County Hospital, IncGroup PAC ID 0749275014, 25 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Princeton, KY 42445-2430
Phone (270) 365-0308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
48324KYMDObstetrics & Gynecology Physician
16059TNMDPhysical Therapist
3002549KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Crittenden Community Hospital LLC CurrentSince Jan 1, 2023 Accepting new patients
Breckinridge Health, Inc CurrentSince Mar 1, 2023 Accepting new patients
Crittenden Community Hospital LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Family Practice Clinic PSC Current Accepting new patients
Trigg County Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 30, 2023 Accepting new patients
Trigg County Hospital, Inc CurrentSince Dec 30, 2023 Accepting new patients
Caldwell County Hospital, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Caldwell County Hospital, Inc Current Accepting new patients
Breckinridge Health Inc CurrentSince Mar 1, 2023 Accepting new patients
Caldwell County Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
S4 Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 13, 2022 Accepting new patients
Crittenden Community Hospital LLC Past Accepting new patients
Tristate Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Southern Orthopedic Associates SC Past Accepting new patients
Breckinridge Health, Inc. Past Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300

320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIDFCD

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1164551156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636961",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636961",
            "telephone_number": "513-981-5130",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 105",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4500",
            "fax_number": "270-441-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3002549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY BCBS IND",
            "identifier": "000000359108",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01099559",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74483249",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC KY",
            "identifier": "000000543460",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WEST",
            "middle_name": "J",
            "credential": "APRN, CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.

Verify at the official NPI Registry.