Individual provider Active NPI

Kathleen E Gibbons, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Middleburg Heights, OH
National Provider Identifier
1174524235
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
166540 Issued in OH
Practice address
15345 Bagley Rd
Middleburg Heights, OH 44130-4825
Phone
(440) 743-8400
Fax
(440) 743-8401
NPI assigned
Aug 10, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 166540 OH Primary

Addresses

Primary practice location

15345 Bagley Rd
Middleburg Heights, OH 44130-4825

Mailing address

PO Box 567
Chagrin Falls, OH 44022-0567
Phone (216) 464-5160

Other identifiers 1

IdentifierTypeStateIssuer
0769440MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000003 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658334891 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformative Anesthesia, LLCGroup PAC ID 6204339864, 19 clinicians

Practice addresses (Care Compare)

22715 Fairview Ctr Dr
Fairview Park, OH 44126-3608
Phone (330) 810-5797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166540OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 29, 2025 Accepting new patients
Northern Ohio Eye Consultants Inc CurrentSince Oct 23, 2021 Accepting new patients
Uh North Ridgeville Endoscopy Center LLC CurrentSince Jul 1, 2022 Accepting new patients
Northern Ohio Eye Center, Inc. CurrentSince Sep 15, 2014 Accepting new patients
Northern Ohio Eye Consultants Inc CurrentSince Oct 23, 2021 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2009 Accepting new patients
The Cleveland Clinic Foundation Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2012 Accepting new patients
North Shore Anesthesia Limited, LLC CurrentSince Jan 23, 2014 Accepting new patients
Memorial Hospital of Union County Past Accepting new patients
Rural Anesthesia Management, LLC Past Accepting new patients
Greenwich Anesthesiology Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Northcoast Anesthesia Providers Past Accepting new patients

Locations

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

7001 S Edgerton Rd
Ste B
Brecksville, OH 44141
Phone (440) 526-1974

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132

3700 Park East Dr
Ste 100
Cleveland, OH 44122
Phone (216) 593-7180

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

22715 Fairview Center Dr
Fairview Park, OH 44126
Phone (330) 810-5797

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

29017 Cedar Rd
Lyndhurst, OH 44124
Phone (440) 255-9920

1000 E Washington St
Medina, OH 44256
Phone (330) 654-1185

970 E Washington St
Ste 203
Medina, OH 44256
Phone (330) 721-4955

15345 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 743-8000

19250 Bagley Rd
Ste 101
Middleburg Heights, OH 44130
Phone (440) 826-0384

32800 Lorain Rd
Ste 2400
North Ridgeville, OH 44039
Phone (440) 406-5562

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

12301 Snow Rd
Parma Heights, OH 44130
Phone (216) 285-8810

6355 Pearl Rd
Parma Heights, OH 44130
Phone (440) 886-1010

5319 Hoag Dr
Sheffield Village, OH 44035
Phone (440) 930-6020

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

850 Columbia Rd
Ste 200
Westlake, OH 44145

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: kgibbons243014@ehrdirect.uhhospitals.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174524235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440220567",
            "telephone_number": "216-464-5160",
            "fax_number": "216-464-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15345 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304825",
            "telephone_number": "440-743-8400",
            "fax_number": "440-743-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "166540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0769440",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.