Individual provider Active NPI

Kimberly Y Daniel, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1316225642
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209034236 Issued in IL
Practice address
3257 Glenview Cir SW
Atlanta, GA 30331-2405
Phone
(404) 808-5203
NPI assigned
Aug 3, 2011
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209034236 IL Primary
Certified Registered Nurse Anesthetist 367500000X RN168271 GA

Addresses

Primary practice location

3257 Glenview Cir SW
Atlanta, GA 30331-2405

Mailing address

3257 Glenview Cir SW
Atlanta, GA 30331-2405
Phone (404) 808-5203

Other names 1

  • Kimberly Y Lusk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120508000323 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315109329 Reassigns benefits to 1 organization
I20260122000383 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315109329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Medical CenterGroup PAC ID 7315835949, 131 clinicians

Practice addresses (Care Compare)

701 N 1St St
Springfield, IL 62781-0001
Phone (217) 788-3755

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
230786NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services of Atlanta LLC CurrentSince Aug 14, 2025 Accepting new patients
Memorial Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2026 Accepting new patients
Memorial Medical Center CurrentSince Jan 13, 2026 Accepting new patients

Locations

1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902

3455 Peachtree Rd NE
Ste 500
Atlanta, GA 30326
Phone (804) 215-5600

3500 Lenox Rd NE
Ste 1500
Atlanta, GA 30326
Phone (404) 720-8220

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1316225642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 GLENVIEW CIR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312405",
            "telephone_number": "404-808-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 GLENVIEW CIR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312405",
            "telephone_number": "404-808-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "KIMBERLY",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209034236",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN168271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "LUSK",
            "middle_name": "Y",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.