Kelli Brooke Fields

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN222388 Issued in GA

Practice address

6225 N State Highway 161 Ste 200
Irving, TX 75038-2241

Phone

(214) 687-0001

Fax

(972) 518-2100

NPI assigned

Oct 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Georgia - TCS, PCGroup PAC ID 3971024910, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Hospitalist Medicine Physicians of Georgia - TCS, PC

  • Anesthesiology Physician
  • Columbus, GA
  • NPI 1033926191
  Medicare reassignment Care Compare group NPD
• Amsol Anesthetists of Georgia, LLC

  • Certified Registered Nurse Anesthetist
  • Columbus, GA
  • NPI 1649224775

  AL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794
  Medicare reassignment NPD
• Amsol Anesthetists of Georgia LLC-Hughston Surgical Center

  • Certified Registered Nurse Anesthetist
  • Columbus, GA
  • NPI 1164708400

  Nurse Anesthetist, Certified Registered

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hughston Hospital, Inc.

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1407082308
  Care Compare affiliation

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

{
    "created_epoch": "1506816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1215447578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHSTAR ANESTHESIA, PA",
            "address_2": "6225 N. STATE HWY 161 STE# 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "214-687-0001",
            "fax_number": "972-518-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 N STATE HIGHWAY 161 STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382241",
            "telephone_number": "214-687-0001",
            "fax_number": "972-518-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KELLI",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-01",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN222388",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN222388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Nicole Fernandez, FNP-C
• Dinesh Fernando
• Cindy Penn Ferris, M.ED., LPC
• Ruth Karina Ferrufino, M.A., BCBA, LBA
• Rose Andree Fevrier
• Joy Fife, COTA/L
• James William Filbeck Jr., DDS
• Angela Ruth Gomez Filippelli
• Fine Digestive Health
• Jeffrey S Fine, MD

• Certified Registered Nurse Anesthetist in Irving, TX
• Providers in Irving, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.