Individual provider Active NPI

Kim Cotnoir

  • Certified Registered Nurse Anesthetist
  • Saint Albans, VT
National Provider Identifier
1396926960
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0074241 Issued in VT
Practice address
133 Fairfield St
Saint Albans, VT 05478-1726
Phone
(802) 635-7047
NPI assigned
Nov 23, 2007
Last updated
May 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0074241 VT Primary
Anesthesiologist Assistant 367H00000X E60610 CT

Addresses

Primary practice location

133 Fairfield St
Saint Albans, VT 05478-1726

Mailing address

PO Box 656
1768 Upper French Hill
Johnson, VT 05656-0656
Phone (802) 635-7047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120612000009 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668559147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Practice addresses (Care Compare)

133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-2911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0074241VTMDCertified Registered Nurse Anesthetist
E60610CTMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Copley Hospital, Inc CurrentSince Nov 5, 2017 Accepting new patients
Copley Hospital, Inc. CurrentSince Nov 5, 2017 Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital Inc Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2012 Accepting new patients
NM Anesthesia Associates, PC Past Accepting new patients
Surgi-Center Anesthesiologists, P.C Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1396926960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "address_2": "1768 UPPER FRENCH HILL",
            "city": "JOHNSON",
            "state": "VT",
            "postal_code": "056560656",
            "telephone_number": "802-635-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FAIRFIELD ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781726",
            "telephone_number": "802-635-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTNOIR",
        "first_name": "KIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VT",
            "license": "0074241",
            "primary": true
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "CT",
            "license": "E60610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.

Verify at the official NPI Registry.