Active NPI
Susan Kirkwood, CRNA
- Certified Registered Nurse Anesthetist
- Leitchfield, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1048153 2125A
- Practice address
- 317 N English St
Leitchfield, KY 42754-2228 - Phone
- (502) 550-4164
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Madisonville, KY
- NPI 1972129286
KY, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Louisville, KY
- NPI 1982917365
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1003866146
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1164400701
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Louisville, KY
- NPI 1003888595
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
-
- Anatomic Pathology & Clinical Pathology Physician
- Cincinnati, OH
- NPI 1831173202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050329000536 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5890779441 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1048153 2125A | KY | MD | Certified Registered Nurse Anesthetist |
| 295272 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Covenant Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lec Ancillary PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southeastern Emergency Services P C | Past | Accepting new patients | |
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Anesthesia Services of Kentucky, PLLC | Past | Accepting new patients | |
| Southern Ohio Pathology Consultants Inc | Past | Accepting new patients | |
| Louisville Endoscopy Center, PLLC | Past | Accepting new patients | |
| Anesthesiology Associates PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000
4005 DuPont Cir
Louisville, KY 40207
Phone (502) 897-7401
2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488
1400 Poplar Level Rd
Ste 2
Louisville, KY 40217
Phone (502) 452-9567
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 295272 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 1048153 2125A | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
317 N English St
Leitchfield, KY 42754-2228
Mailing address
317 N English St
Leitchfield, KY 42754-2228
Phone (502) 550-4164
Other identifiers 6
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100004550 | Medicaid | KY | |
| 000000669363 | Other | ANTHEM | |
| 200487620 | Medicaid | IN | |
| 2491049 | Medicaid | OH | |
| 412840118 | Other | IN | MEDICARE |
| 611077369 1295716850 | Other | HEALTHNET |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2022.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1366440281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 N ENGLISH ST",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427542228",
"telephone_number": "502-550-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N ENGLISH ST",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427542228",
"telephone_number": "502-550-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKWOOD",
"first_name": "SUSAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "295272",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1048153 2125A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100004550",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000669363",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200487620",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2491049",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "412840118",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "611077369 1295716850",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.