Active NPI
Timothy Keith Kaney, CRNA
- Certified Registered Nurse Anesthetist
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 183498
- Practice address
- 210 Clark Rd
Bristol, TN 37620-7400 - Phone
- (423) 967-8764
- NPI assigned
- Jan 27, 2016
- Last updated
- Feb 22, 2016
- Sex
- Male
- 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 | 183498 | NC | Primary |
Addresses
Primary practice location
210 Clark Rd
Bristol, TN 37620-7400
Mailing address
1144 N Road St
Elizabeth City, NC 27909-3473
Phone (252) 384-2610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1085 NE Gateway CT NE
Suite 180
Concord, NC 28025-2407
Phone (704) 927-6263
300 Billingsley Rd
Suite 200 B
Charlotte, NC 28211-1075
Phone (704) 927-6066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sarmc Anesthesia Specialist LLC | Current | Accepting new patients | |
| Western Carolina Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Triad Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
112 Kinderton Blvd
#100
Advance, NC 27006
Phone (336) 765-0155
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300
280 Broad St
Ste F
Kernersville, NC 27284
Phone (336) 765-6312
434 Kirby Rd
King, NC 27021
5200 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-4187
137 Mount Calvary Rd
#A
Thomasville, NC 27360
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
2025 Frontis Plaza Blvd
Ste 200
Winston Salem, NC 27103
Phone (336) 768-6621
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1598625626
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1114544996
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, VA
-
- Critical Care Medicine (Anesthesiology) Physician
- Elizabeth City, NC
- NPI 1295194397
-
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
- NPI 1427528595
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hickory, NC
- NPI 1326669508
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1356708945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1144 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093473",
"telephone_number": "252-384-2610",
"fax_number": "252-338-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 CLARK RD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207400",
"telephone_number": "423-967-8764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANEY",
"first_name": "TIMOTHY",
"middle_name": "KEITH",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-27",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "183498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.