Active NPI
Kathryn Grayce Dandrea, CRNA
- Certified Registered Nurse Anesthetist
- Cornelius, NC
National Provider Identifier
1396743027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43025
- Practice address
- 19137 Coachmans Trce
Cornelius, NC 28031-9349 - Phone
- (704) 896-0638
- Fax
- (704) 896-2917
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 097233 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 43025 | CT | Primary |
Addresses
Primary practice location
19137 Coachmans Trce
Cornelius, NC 28031-9349
Mailing address
19137 Coachmans Trce
Cornelius, NC 28031-9349
Phone (704) 896-0638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097233 | NC | MD | Registered Nurse |
| 43025 | NC | MD | Pharmacy Technician |
| 2739 | SC | MD | Orthopedic Physical Therapist |
| 43025 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Davidson Anesthesia Consultants, PA | Past | Accepting new patients | |
| Lenoir Memorial Hospital, Incorporated | Past | Accepting new patients | |
| Nurse Anesthesia of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lenoir Memorial Hospital, Incorporated | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Coastal Healthcare Resources Inc | Registered Nurse | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Thomasville, NC
- NPI 1407801889
-
- Cardiology Technician
- Kinston, NC
- NPI 1013957414
-
- Certified Registered Nurse Anesthetist
- Kinston, NC
- NPI 1679517296
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Elizabeth City, NC
- NPI 1689628729
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
-
- Anesthesiology Physician
- Florence, SC
- NPI 1467635128
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396743027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19137 COACHMANS TRCE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280319349",
"telephone_number": "704-896-0638",
"fax_number": "704-896-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19137 COACHMANS TRCE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280319349",
"telephone_number": "704-896-0638",
"fax_number": "704-896-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANDREA",
"first_name": "KATHRYN",
"middle_name": "GRAYCE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "097233",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "43025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.