Individual provider Active NPI

Kelly Herringdine, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Wilmington, NC
National Provider Identifier
1316332786
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3009380 Issued in KY
Practice address
1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone
(910) 341-3400
NPI assigned
Apr 2, 2015
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20170724002469 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368198 Reassigns benefits to 9 organizations

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
Catawba Valley Medical CenterGroup PAC ID 0547178907, 105 clinicians

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

LicenseStateTypeSpecialty
5645NCMDGeneral Practice Dentistry
2294MNMDPhysician Assistant
1141093KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Sedation Associates, LLC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Catawba Valley Medical Center CurrentSince Jan 29, 2024 Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients
Morganton Anesthesia Partners, PLLC Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Caldwell Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2021 Accepting new patients
Catawba Valley Medical Center Current Accepting new patients
Catawba Valley Medical Center CurrentSince Jan 29, 2024 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Feb 8, 2021 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Morganton Anesthesia Partners, PLLC Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Jun 13, 2022 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Apr 1, 2017 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

  • FHIR API: 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.

View all 13

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": "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.

Verify at the official NPI Registry.