Individual provider Active NPI

Paula K O'Bannon, CRNA

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
National Provider Identifier
1245348259
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3004418 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536-0001
Phone
(859) 323-5956
Fax
(859) 323-1080
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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 3004418 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536-0001

Mailing address

800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5956

Other identifiers 1

IdentifierTypeStateIssuer
74009481MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000101 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830150598 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danville Anesthesia Associates, LLP 5 clinicians

Practice addresses (Care Compare)

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Jun 12, 2015 Accepting new patients
Apex Anesthesia Partners, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Resource Anesthesia Cumberland Valley Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Aug 3, 2009 Accepting new patients
Danville Anesthesia Associates, LLP Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2017 Accepting new patients
Definitive Medical Solutions, PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Radiology Inc PastSince Aug 12, 2012 Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

275 Highway 770
Corbin, KY 40701
Phone (606) 526-7874

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

230 W Main St
Ste 200
Danville, KY 40422

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

200 Medical Center Dr
Ste 2B
Hazard, KY 41701
Phone (606) 439-3952

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

240 Fountain Ct
Lexington, KY 40509
Phone (859) 278-1460

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803

1451 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 260-1273

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Interoperability endpoints

  • Direct secure messaging: pobannon18986@ukhcdirect.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1245348259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANNON",
        "first_name": "PAULA",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3004418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74009481",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.