Individual provider Active NPI

Kimberly Ann Kreppein-Becke, CRNA

  • Certified Registered Nurse Anesthetist
  • New Orleans, LA
National Provider Identifier
1346473337
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN101674/AP05895 Issued in LA
Practice address
1532 Tulane Ave
New Orleans, LA 70112-2860
Phone
(504) 903-1890
Fax
(504) 903-2001
NPI assigned
Aug 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN101674/AP05895 LA Primary

Addresses

Primary practice location

1532 Tulane Ave
New Orleans, LA 70112-2860

Mailing address

1532 Tulane Ave
New Orleans, LA 70112-2860
Phone (504) 903-1890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091028000763 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486791209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Anesthesia ConsultantsGroup PAC ID 8820470057, 22 clinicians

Practice addresses (Care Compare)

2701 Lake Villa Dr
Metairie, LA 70002-6701
Phone (504) 832-2115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN101674/AP05895LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 10, 2024 Accepting new patients
Jefferson Anesthesia Consultants CurrentSince Aug 5, 2022 Accepting new patients

Locations

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

4633 Wichers Dr
Ste 200
Marrero, LA 70072
Phone (504) 328-0000

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

1207 N Causeway Blvd
Metairie, LA 70001
Phone (504) 832-2115

2701 Lake Villa Dr
Metairie, LA 70002
Phone (504) 274-3100

1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1346473337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122860",
            "telephone_number": "504-903-1890",
            "fax_number": "504-903-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122860",
            "telephone_number": "504-903-1890",
            "fax_number": "504-903-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREPPEIN-BECKE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN101674/AP05895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.