Carolyn G Kennis, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

000000NA1535 Issued in CA

Practice address

10900 Warner Ave
Suite 101a
Fountain Valley, CA 92708-3846

Phone

(714) 698-1270

Fax

(714) 962-7261

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

State licenses

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.

• Diogenes Anesthesia Medical Group

  • Anesthesiology Physician
  • Long Beach, CA
  • NPI 1730133257
  NPD (past)
• Rizkalla, Inc.

  • Anesthesiology Physician
  • Huntington Beach, CA
  • NPI 1922033430
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1255413431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1000",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE",
            "address_2": "SUITE 101A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-698-1270",
            "fax_number": "714-962-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNIS",
        "first_name": "CAROLYN",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "000000NA1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Francis, M.D., Inc.
• David Kendis, PSYD
• Jyotsna Keni, M.D.
• Diane Elizabeth Kennedy, N.P.
• Kenneth R. Fineman PH.D Psych Corp
• Kenny Quach DPM
• Kent N. DO., D.M.D., Inc.
• Allison Kerr
• James Kerr
• Laura Ketcham, BA

• Certified Registered Nurse Anesthetist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.