Active NPI
Kelly Walker Beirne, CRNA
- Certified Registered Nurse Anesthetist
- Indian Harbour Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2644822
- Practice address
- 2033 S Patrick Dr
Indian Harbour Beach, FL 32937-4418 - Phone
- (321) 773-9898
- Fax
- (321) 773-3354
- NPI assigned
- Apr 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2358 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 2644822 | FL | Primary |
Addresses
Primary practice location
2033 S Patrick Dr
Indian Harbour Beach, FL 32937-4418
Mailing address
2033 S Patrick Dr
Indian Harbour Beach, FL 32937-4418
Phone (321) 773-9898
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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2033 S Patrick Dr
Suite B
Indian Harbour Beach, FL 32937-4418
Phone (321) 773-9898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2644822 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Medical Specialists LLC | Current | Accepting new patients | |
| Beach Medical Imaging, PA | Past | Accepting new patients | |
| Central Brevard Anesthesiologists, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Spartanburg Hospital for Restorative Care | Past | Accepting new patients |
Locations
2033 South Patrick Dr
Indian Harbour Beach, FL 32937
Phone (321) 773-9898
2033 South Patrick Dr
Ste B
Indian Harbour Beach, FL 32937
Phone (321) 773-9898
Organizations & group practices 4
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.
-
- Medical Specialty Clinic/Center
- Indian Harbour Beach, FL
- NPI 1124467881
-
- Radiology Clinic/Center
- Indian Harbour Beach, FL
- NPI 1639266224
-
- Anesthesiology Physician
- Rockledge, FL
- NPI 1205875671
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Spartanburg, SC
- NPI 1649293580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1306809405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 S PATRICK DR",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329374418",
"telephone_number": "321-773-9898",
"fax_number": "321-773-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 S PATRICK DR",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329374418",
"telephone_number": "321-773-9898",
"fax_number": "321-773-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER BEIRNE",
"first_name": "KELLY",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "2358",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "2644822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Harbour Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.