Active NPI
Kellie K Birch, CRNA
- Certified Registered Nurse Anesthetist
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11010950
- Practice address
- 11011 Sheridan St Ste 106
Hollywood, FL 33026-1501 - Phone
- (954) 435-0101
- Fax
- (954) 435-0125
- NPI assigned
- Aug 19, 2006
- Last updated
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11010950 | FL | Primary |
Addresses
Primary practice location
11011 Sheridan St Ste 106
Hollywood, FL 33026-1501
Mailing address
9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (786) 530-3820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117705200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Baylor College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5527
Phone (954) 458-1689
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11010950 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Galloway Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Galloway Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Miami Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Guardian Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mainland Anesthesia Associates, P.a. | Past | Accepting new patients | |
| Mainland Anesthesia Associates PA | Past | Accepting new patients | |
| Texas Pain Consultants, LLP | Past | Accepting new patients | |
| Utmb Faculty Group Practice | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939
306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689
11011 Sheridan St
Ste 106
Hollywood, FL 33026
Phone (954) 435-0101
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855
515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000
5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000
7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820
10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600
2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144
Interoperability endpoints
- https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Aventura, FL
- NPI 1821475179
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Palm Beach Gardens, FL
- NPI 1316626450
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Houston, TX
- NPI 1104194562
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Pearland, TX
- NPI 1710147012
-
dba Mainland Pain Consultants
- Interventional Pain Medicine Physician
- Dickinson, TX
- NPI 1629048582
-
dba Texas Pain Consultant Associates, LLP
- Pain Medicine (Anesthesiology) Physician
- Sugar Land, TX
- NPI 1932211992
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1356455075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 S DADELAND BLVD STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331562866",
"telephone_number": "786-530-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11011 SHERIDAN ST STE 106",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330261501",
"telephone_number": "954-435-0101",
"fax_number": "954-435-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCH",
"first_name": "KELLIE",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11010950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117705200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
- Sara Leah Bienenfeld, PA-C
- Tresa Bietola, FNP
- David Noel Bimston, M.D.
- Jenna Nicole Binaco
- Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Southern Broward)
- Gary A Birken, MD
- Andrew S Birky, CRNA
- Biscayne Medical Center
- Biscayne Plaza Surgery Center, LLC
- Bitbella Acupuncture Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.