Active NPI
Kathleen S Oleniacz, CRNA
- Certified Registered Nurse Anesthetist
- Chapel Hill, NC
National Provider Identifier
1417922113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 221260
- Practice address
- 101 Manning Dr
Chapel Hill, NC 27514-4220 - Phone
- (919) 966-8596
- Fax
- (919) 843-5515
- NPI assigned
- Feb 17, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN211744L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 221260 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr
Chapel Hill, NC 27514-4220
Mailing address
143 W Franklin St
Chapel Hill, NC 27516-2539
Phone (919) 966-8596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8053079 | Medicaid | NC | |
| 007394631 | Medicaid | PA |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221260 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenoir Memorial Hospital, Incorporated | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lexington Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lenoir Memorial Hospital, Incorporated | Past | Accepting new patients | |
| Ohio Valley Medical Services, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Associates in Anesthesia | Past | Accepting new patients | |
| Associates in Anesthesia, Inc. | Past | Accepting new patients | |
| Blair County Anesthesia, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 7
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.
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Nurse Anesthetist, Certified Registered
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- Anesthesiology Physician
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- NPI 1336470467
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
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- Anesthesiology Physician
- Altoona, PA
- NPI 1003864612
-
- Certified Registered Nurse Anesthetist
- Altoona, PA
- NPI 1932144029
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- McKees Rocks, PA
- NPI 1306988001
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1417922113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 W FRANKLIN ST",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275162539",
"telephone_number": "919-966-8596",
"fax_number": "919-843-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "919-966-8596",
"fax_number": "919-843-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLENIACZ",
"first_name": "KATHLEEN",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN211744L",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "221260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053079",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007394631",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.