Organization Active NPI

Crna Services of St. Vincent'S East, LLC

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1346505336
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CRNA SERVICES OF ST. VINCENT'S EAST, LLC
Practice address
50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone
(205) 838-3000
NPI assigned
Jul 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Mrs. Jennifer L Kingry
Title
VP of Financial Reporting
Phone
(205) 838-3766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

50 Medical Park Dr E
Birmingham, AL 35235-3401

Mailing address

PO Box 935535
Atlanta, GA 31193-5529
Phone (205) 979-5882

Other identifiers 1

IdentifierTypeStateIssuer
140624MedicaidAL

Other names 1

  • St. Vincent's East Anesthesia Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1346505336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935535",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311935529",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DR E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-838-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRNA SERVICES OF ST. VINCENT'S EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "KINGRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF FINANCIAL REPORTING",
        "authorized_official_telephone_number": "205-838-3766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140624",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent's East Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.