Active NPI
Jeanie Kim Ladd, CRNA
- Certified Registered Nurse Anesthetist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024169448
- Practice address
- 4320 Seminary Rd
Alexandria, VA 22304-1535 - Phone
- (703) 504-3789
- Fax
- (703) 295-9369
- NPI assigned
- Jan 31, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024169448 | VA | Primary |
Addresses
Primary practice location
4320 Seminary Rd
Alexandria, VA 22304-1535
Mailing address
PO Box 37090
Baltimore, MD 21297-3090
Phone (703) 295-9360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 287-5200
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200
2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone (772) 223-2300
509 SE Riverside Dr
Suite 100
Stuart, FL 34994-2579
Phone (772) 223-5920
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Anesthesia Group PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Florida Anesthesia Consultants, Inc. | Past | Accepting new patients |
Locations
10080 SW Innovation Way
Ste 101
Port St Lucie, FL 34987
Phone (561) 358-2445
10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
Organizations & group practices 2
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
- Stuart, FL
- NPI 1013350875
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- St Augustine, FL
- NPI 1114892361
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1265738843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37090",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973090",
"telephone_number": "703-295-9360",
"fax_number": "703-295-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 SEMINARY RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041535",
"telephone_number": "703-504-3789",
"fax_number": "703-295-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADD",
"first_name": "JEANIE",
"middle_name": "KIM",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024169448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.