Active NPI
Kallie Chapman Beretta, CRNA
- Certified Registered Nurse Anesthetist
- Phenix City, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-149837
- Practice address
- 4401 Riverchase Dr
Phenix City, AL 36867-7483 - Phone
- (334) 732-3000
- NPI assigned
- Apr 14, 2020
- Last updated
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 8423336 | NV | |
| Certified Registered Nurse Anesthetist | 367500000X | 26463 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | RN2339414 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN-195940 | MT | |
| Certified Registered Nurse Anesthetist | 367500000X | 1-149837 | AL | Primary |
Addresses
Primary practice location
4401 Riverchase Dr
Phenix City, AL 36867-7483
Mailing address
224 Jasmine Hill Rd
Indian Springs, AL 35124-3328
Phone (334) 202-5596
Other practice location 1
759 Chestnut St
Springfield, MA 01199-1001
Phone (334) 202-5596
Other practice location 2
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3271
Other practice location 3
115 Cass Ave
Woonsocket, RI 02895-4705
Phone (850) 985-9180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110164311A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, GA, AL, MT, RI
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100
2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-149837 | AL | MD | Certified Registered Nurse Anesthetist |
| RN2339414 | MA | MD | Certified Registered Nurse Anesthetist |
| APRN-195940 | MT | MD | Certified Registered Nurse Anesthetist |
| 8423336 | NV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Anesthesia Service, Inc. | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia LLC-Hughston Surgical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Crna Services of DGH | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| The Surgery Center at Self Memorial Hospital, LLC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Starlyn Green Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Eye Specialists PC | Past | Accepting new patients | |
| HH Health System-Morgan Inc. | Past | Accepting new patients |
Locations
1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000
4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
908 Allen St
Springfield, MA 01118
Phone (413) 732-5139
181 Park Ave
Ste 5
West Springfield, MA 01089
Phone (413) 795-7494
400 10th St E
Waconia, MN 55387
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
3820 N 27th Ave
Ste 100
Bozeman, MT 59718
Phone (406) 587-1245
320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541
115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701
101 Academy Ave
Greenwood, SC 29646
Phone (864) 227-8242
Organizations & group practices 14
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.
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
Nurse Anesthetist, Certified Registered, RI
-
- Certified Registered Nurse Anesthetist
- Decatur, AL
- NPI 1306088471
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Anesthesiology Physician
- Springfield, MA
- NPI 1093768830
-
- Certified Registered Nurse Anesthetist
- Bozeman, MT
- NPI 1811293764
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Livingston, MT
- NPI 1245222306
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1164708400
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Billings, MT
- NPI 1376598714
-
dba Surgery Center of the Lakelands
- Ambulatory Surgical Clinic/Center
- Greenwood, SC
- NPI 1427044452
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
dba Billings Clinic Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Billings, MT
- NPI 1003953589
Hospital
-
dba Billings Clinic Heights
- Family Medicine Physician
- Billings, MT
- NPI 1033164447
Hospital
-
dba Billings Clinic Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Billings, MT
- NPI 1124310537
Hospital
-
dba Billings Clinic Hospital
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
-
dba Billings Clinic Bozeman
- Internal Medicine Physician
- Bozeman, MT
- NPI 1265648455
Hospital
-
dba Billings Clinic West
- Internal Medicine Physician
- Billings, MT
- NPI 1871548289
Hospital
-
dba Landmark Medical Center
- General Acute Care Hospital
- Woonsocket, RI
- NPI 1699752923
-
dba Landmark Medical Center
- Psychiatric Hospital Unit
- Woonsocket, RI
- NPI 1396722666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1306465935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 JASMINE HILL RD",
"city": "INDIAN SPRINGS",
"state": "AL",
"postal_code": "351243328",
"telephone_number": "334-202-5596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 RIVERCHASE DR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677483",
"telephone_number": "334-732-3000"
}
],
"practiceLocations": [
{
"address_1": "759 Chestnut St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011991001",
"country_code": "US",
"telephone_number": "334-202-5596",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-3271",
"fax_number": "508-856-5911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Cass Ave",
"address_purpose": "LOCATION",
"city": "Woonsocket",
"state": "RI",
"postal_code": "028954705",
"country_code": "US",
"telephone_number": "850-985-9180",
"fax_number": "765-588-1485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERETTA",
"first_name": "KALLIE",
"middle_name": "CHAPMAN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-14",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "8423336",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "26463",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2339414",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "APRN-195940",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-149837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110164311A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.