Active NPI
Elizabeth S Kim, CRNA
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9211851
- Practice address
- 4048 Evans Ave
Ste 303
Fort Myers, FL 33901-9322 - Phone
- (239) 332-5344
- Fax
- (239) 332-7246
- NPI assigned
- Feb 6, 2007
- 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 | 0024175572 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 9211851 | FL | Primary |
Addresses
Primary practice location
4048 Evans Ave
Ste 303
Fort Myers, FL 33901-9322
Mailing address
4048 Evans Ave
Ste 303
Fort Myers, FL 33901-9322
Phone (239) 332-5344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G4220 | Other | FL | BSFL |
| AD168Z | Other | FL | MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Outpatient Anesthesia Services of Reston, LTD | Current | Accepting new patients | |
| Tift Regional Health System Inc. | Current | Accepting new patients | |
| Virginia Anesthesia Services LLC | Current | Accepting new patients | |
| Inova Cares - Community | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Concordia Anesthesiology, Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Jennifer Sassi PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Medical Anesthesia and Pain Management Consultants, P.a. | Past | Accepting new patients |
Locations
1500 Concord Ter
Fl 5
Sunrise, FL 33323
Phone (954) 384-0175
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
3620 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 766-6960
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700
1806 Summit Ave
Ste 300
Richmond, VA 23230
Phone (804) 315-3771
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1861131906
-
- Anesthesiology Physician
- Reston, VA
- NPI 1376654434
-
- Ophthalmology Physician
- Tifton, GA
- NPI 1790280857
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1881205144
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1619305067
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ft Myers, FL
- NPI 1619966694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1215076187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "STE 303",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019322",
"telephone_number": "239-332-5344",
"fax_number": "239-332-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "STE 303",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019322",
"telephone_number": "239-332-5344",
"fax_number": "239-332-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ELIZABETH",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024175572",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9211851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL",
"identifier": "G4220",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR",
"identifier": "AD168Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.