Active NPI
Kimberly S Yunkun, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
National Provider Identifier
1407840465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1650A
- Practice address
- 225 Abraham Flexner Way
Louisville, KY 40202-1846 - Phone
- (502) 561-4263
- Fax
- (502) 561-4221
- NPI assigned
- Sep 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 | 1069163 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 1650A | KY | Primary |
Addresses
Primary practice location
225 Abraham Flexner Way
Louisville, KY 40202-1846
Mailing address
225 Abraham Flexner Way
Suite 700
Louisville, KY 40202-1846
Phone (502) 561-4263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74380635 | Medicaid | KY |
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 |
|---|---|---|---|
| 1069163 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Services of Kentucky, PLLC | Past | Accepting new patients | |
| Dupont Anesthesia PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Kleinert Kutz and Associates Hand Care Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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
- Louisville, KY
- NPI 1003866146
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1164400701
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1639199557
Nurse Anesthetist, Certified Registered
-
- Surgery of the Hand (Surgery) Physician
- Louisville, KY
- NPI 1235123118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1407840465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 ABRAHAM FLEXNER WAY",
"address_2": "SUITE 700",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021846",
"telephone_number": "502-561-4263",
"fax_number": "502-561-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 ABRAHAM FLEXNER WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021846",
"telephone_number": "502-561-4263",
"fax_number": "502-561-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUNKUN",
"first_name": "KIMBERLY",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1069163",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1650A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74380635",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.