Active NPI
Kelly Herringdine, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3009380
- Practice address
- 1202 Medical Center Dr
Wilmington, NC 28401-7307 - Phone
- (910) 341-3400
- NPI assigned
- Apr 2, 2015
- Last updated
- Jun 24, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1141093 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 2294 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 3009380 | KY | Primary |
Addresses
Primary practice location
1202 Medical Center Dr
Wilmington, NC 28401-7307
Mailing address
242A 9TH Avenue Dr NE
Hickory, NC 28601-3828
Phone (828) 327-6673
Other practice location 1
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-3456
Other practice location 2
639 North Nulberry Street
Heartland Anesthesia Consultants, P.S.C.
Elizabethtown, KY 42701-1931
Phone (270) 737-4600
Other practice location 3
1122 Medical Center Dr
Wilmington, NC 28401-7305
Phone (910) 338-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3809
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5645 | NC | MD | General Practice Dentistry |
| 2294 | MN | MD | Physician Assistant |
| 1141093 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Sedation Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Morganton Anesthesia Partners, PLLC | Anesthesiology | Current | Accepting new patients |
| Caldwell Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Carolina Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
| Caldwell Memorial Hospital Inc. | Current | Accepting new patients | |
| Carolina Regional Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Morganton Anesthesia Partners, PLLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Carteret County General Hospital Corporation | Current | Accepting new patients |
Locations
3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
704 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 758-8181
242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100
3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
110 Dennis Dr
Sanford, NC 27330
Phone (919) 774-4511
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
1801 S 17th St
Wilmington, NC 28401
Phone (910) 763-4555
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 13
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.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Anesthesiology
-
- General Acute Care Hospital
- Lenoir, NC
- NPI 1740312552
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Statesville, NC
- NPI 1699723791
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1891072609
Anesthesiology
-
dba Carteret General Hospital
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1114544996
Anesthesiology
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Anesthesiology Physician
- Morganton, NC
- NPI 1346828878
-
dba UNC Health Caldwell Radiology Associates
- Diagnostic Radiology Physician
- Lenoir, NC
- NPI 1255221180
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
- Cardiovascular Disease Physician
- Hickory, NC
- NPI 1790194322
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1316332786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242A 9TH AVENUE DR NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013828",
"telephone_number": "828-327-6673",
"fax_number": "828-327-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-341-3400"
}
],
"practiceLocations": [
{
"address_1": "640 Jackson St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012502",
"country_code": "US",
"telephone_number": "651-254-3456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "639 North Nulberry Street",
"address_2": "Heartland Anesthesia Consultants, P.S.C.",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "KY",
"postal_code": "427011931",
"country_code": "US",
"telephone_number": "270-737-4600",
"fax_number": "270-737-1722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1122 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017305",
"country_code": "US",
"telephone_number": "910-338-5900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRINGDINE",
"first_name": "KELLY",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-02",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1141093",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2294",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3009380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.