Keli Krnjaic Baine
Individual provider Active NPI Certified Registered Nurse Anesthetist · Alexandria, VA
NPI 1376940247 · NPPES record last updated Apr 3, 2015
Key facts
- NPI
- 1376940247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 0024172345 (VA)
- Practice address
- 4320 Seminary Rd
Alexandria, VA 22304-1535 - Phone
- (703) 766-9695
- NPI assigned
- Nov 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150406000674 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5294053120 | |
| I20150407001456 | DC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5294053120 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1026687 | DC | MD | Registered Nurse |
| 0024172345 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Anesthesia Associates, PLLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current |
Accepting new patients | |
| Washington Hospital Center Corp | Current |
Accepting new patients | |
| Washington Hospital Center Corp | Current |
Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current |
Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
1133 21st St NW
Washington, DC 20036
Phone (202) 223-9040
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
1133 21st St NW
Ste 1000
Washington, DC 20036
Phone (202) 223-9040
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
Interoperability endpoints
- kbaine1302316@direct.hopkinsmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024172345 | VA | Yes |
| Registered Nurse | 163W00000X | 1026687 | DC |
Addresses
Primary practice location
4320 Seminary Rd
Alexandria, VA 22304-1535
Mailing address
3021 O St NW
Washington, DC 20007-3108
Phone (202) 657-7187
Other providers in Alexandria, VA
- Yolanda Denise Bailey-Stockton
- Anna Clay Bailey
- Brittany Nicole Bailey
- Kathleen Bailey
- Mary Teresa Bailey
- Margaret Baisley
- Czarek Bak
- Pamela G Bakel
- Chrystal Sharay Baker
- Katherine Maxwell Baker
All providers in Alexandria, VA · Certified Registered Nurse Anesthetist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.