Individual provider Active NPI

Kimberley Kretchmer, CRNA

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
National Provider Identifier
1225010770
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN274847L Issued in PA
Practice address
5100 W Tilghman St Ste 315
Allentown, PA 18104-9166
Phone
(610) 395-4044
Fax
(610) 395-5693
NPI assigned
Nov 18, 2005
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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 RN274847L PA Primary

Addresses

Primary practice location

5100 W Tilghman St Ste 315
Allentown, PA 18104-9166

Mailing address

PO Box 783497
Philadelphia, PA 19178-3497
Phone (610) 395-4044

Other identifiers 1

IdentifierTypeStateIssuer
00738396MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000022 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143119008 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN274847LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Gastroenterology Center, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Forty Fort Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 30, 2017 Accepting new patients
The Pottsville PA Endoscopy ASC LP Current Accepting new patients
Greater Hazleton Gastroenterology, P.C. Current Accepting new patients
Lehigh Anesthesia Associates, P.C. CurrentSince Sep 15, 2003 Accepting new patients
The Pottsville PA Endoscopy ASC LP CurrentSince May 1, 2015 Accepting new patients
Northeast Gastroenterology Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Gulfstream Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Jul 12, 2014 Accepting new patients
Anthracite Anesthesia Consultants, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Professional Anesthesia Providers, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

5000 W Tilghman St
Ste 240
Allentown, PA 18104
Phone (610) 395-4044

5100 W Tilghman St
Ste 315
Allentown, PA 18104
Phone (610) 395-4044

701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000

10 Park Pl
Hazle Township, PA 18202
Phone (570) 454-1400

190 Welles St
Kingston, PA 18704
Phone (570) 283-0524

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

48 Tunnel Rd
Ste 103
Pottsville, PA 17901
Phone (570) 622-6520

Organizations & group practices 10

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1225010770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783497",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783497",
            "telephone_number": "610-395-4044",
            "fax_number": "610-395-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TILGHMAN ST STE 315",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049166",
            "telephone_number": "610-395-4044",
            "fax_number": "610-395-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETCHMER",
        "first_name": "KIMBERLEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN274847L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00738396",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.