Kimberly M Guadalupe-Andersen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1972 Issued in PR

Practice address

1357 Ave Ashford
Suite 2
San Juan, PR 00907-1420

Phone

(787) 721-2160

NPI assigned

Jul 9, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sheridan Healthcorp Inc 956 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212

Medicare enrollment (NPD)

Enrolled

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.

• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Physician Solutions of North Florida, LLC

  • Anesthesiology Physician
  • Gainesville, FL
  • NPI 1164932901

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Rizwana Thanawala MD PA

  • Gastroenterology Physician
  • Lake City, FL
  • NPI 1194945097

  FL

  Medicare reassignment NPD
• Anesthesia Physician Solutions of North Florida, LLC

  • Anesthesiology Physician
  • Kissimmee, FL
  • NPI 1902478431
  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • Inverness, FL
  • NPI 1063797264

  Nurse Anesthetist, Certified Registered

  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1578429460
  NPD

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

• Marion Community Hospital, Inc.

  • General Acute Care Hospital
  • Ocala, FL
  • NPI 1841237930

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1275949323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CALLE 535 APT 527",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009852306",
            "telephone_number": "787-750-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 AVE ASHFORD",
            "address_2": "SUITE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071420",
            "telephone_number": "787-721-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADALUPE-ANDERSEN",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "1972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grupo San Mateo, LLC
• Grupomedico de Sala de Emergencia Dr.Quevedo Baez
• GS Technical Group Inc
• GSM-Salud Primaria, LLC
• GT Psychiatry LLC
• Alexander Guadalupe
• Sergio Guadalupe
• Angel Daniel Guante
• Carolyn Guardado, RN
• Giannina Eminee Guardia Rullan, M.D.

• All providers in San Juan, PR
• Certified Registered Nurse Anesthetist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.