Kevin Michael Oliver, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

100089 Issued in NE

Practice address

2203 Woodridge PL
Grand Island, NE 68801-7236

Phone

(308) 381-1914

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Group of Grand Island PC

  • Pain Medicine (Anesthesiology) Physician
  • Grand Island, NE
  • NPI 1346216793
  NPD (past)
• CHI Health Clinic Physician Enterprise-Anesthesia LLC

  • Anesthesiology Physician
  • Council Bluffs, IA
  • NPI 1639687114

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1174600456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034205",
            "telephone_number": "308-381-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 WOODRIDGE PL",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688017236",
            "telephone_number": "308-381-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Mill Counseling
• Old Mill Counseling, LLC
• Christina Olena
• Claudia Lorena Oliva Carrera
• Anson Jeffrey Oliver
• Lisa Oliver
• Matthew C. Oliver, CRNA
• Suzanne Oliver, LPN
• Casie Olsen
• Jon Kurtis Olsen, PHARM.D.

• Certified Registered Nurse Anesthetist in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.