Kathleen Wall, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP 1389652 Issued in FL

Practice address

6485 Morgan la Fee LN
Fort Myers, FL 33912-1644

Phone

(239) 433-1749

NPI assigned

Jan 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galloway Anesthesia Associates LLCGroup PAC ID 0143402917, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDCGDD

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.

• Galloway Anesthesia Associates LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1689989139

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Advanced Gastroenterology of Naples, LLC

  • Gastroenterology Physician
  • Naples, FL
  • NPI 1659381614
  Medicare reassignment NPD
• Moonlight Anesthesia, P.L.

  • Anesthesiology Physician
  • Fort Myers, FL
  • NPI 1033419791
  Medicare reassignment NPD
• Sunshine Anesthesia PL

  • Anesthesiology Physician
  • Fort Myers, FL
  • NPI 1649353665
  Medicare reassignment NPD
• Galloway Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Palm Beach Gardens, FL
  • NPI 1316626450

  Nurse Anesthetist, Certified Registered

  NPD
• Anesthesia & Pain Consultants of SW FL

  • Specialist
  • Fort Myers, FL
  • NPI 1609843275
  NPD (past)
• Outpatient Anesthesia of Southwest Florida Inc

  • Specialist
  • Fort Myers, FL
  • NPI 1518244383
  NPD (past)

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1336292325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 MORGAN LA FEE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121644",
            "telephone_number": "239-433-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 MORGAN LA FEE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121644",
            "telephone_number": "239-433-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "KATHLEEN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 1389652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034758200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph P Walker, M.D.
• Lyla Walker
• Melinda Walker, BCABA
• Reilly Walker
• Wall Anesthesia Inc.
• Jordan Wallace, PHARMD
• Tasha B Wallace, D.O.
• Anthony Waller
• Wallis Chiropractic LLC
• Deborahlee Wallis

• Certified Registered Nurse Anesthetist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.