Individual provider Active NPI

Kimberly K Kubricht, CRNA, NP

  • Certified Registered Nurse Anesthetist
  • Slidell, LA
National Provider Identifier
1437169539
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
211667 Issued in LA
Practice address
1001 Gause Blvd
Slidell, LA 70458-2939
Phone
(985) 280-2200
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95007196 CA
Nurse Practitioner 363L00000X RN123975 GA
Certified Registered Nurse Anesthetist 367500000X RN123975 GA
Certified Registered Nurse Anesthetist 367500000X NA95000640 CA
Certified Registered Nurse Anesthetist 367500000X 211667 LA Primary

Addresses

Primary practice location

1001 Gause Blvd
Slidell, LA 70458-2939

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

8555 Floence Ave
Downey, CA 90240
Phone (562) 923-9351

Other practice location 2

1000 W Carson St
Torrance, CA 90502-2004
Phone (404) 242-9817

Other practice location 3

601 s wesmoreland ave
los angeles, CA 90005
Phone (404) 242-9817

Other identifiers 3

IdentifierTypeStateIssuer
NP95007196MedicaidCA
NA95000640MedicaidCA
NP95007196OtherCAMEDICARE

Other names 1

  • Kimberly Katherine Kubricht Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA, LA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20061004000344 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496765232 Reassigns benefits to 3 organizations
I20170607002828 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496765232 Reassigns benefits to 4 organizations
I20201006003088 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496765232 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 613-0711

42570 S Airport Rd
Hammond, LA 70403-0946
Phone (985) 510-6200

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95007196CAMDNurse Practitioner
RN123975GAMDNurse Practitioner
NA95000640CAMDCertified Registered Nurse Anesthetist
211667LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Nov 11, 2024 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 1, 2005 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 27, 2023 Accepting new patients
Anesthesiology Group Associates Inc CurrentSince Oct 1, 2020 Accepting new patients
University Medical Center Management Corporation Nurse Practitioner CurrentSince Sep 25, 2020 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 28, 2024 Accepting new patients
Emory Medical Care Foundation CurrentSince Dec 21, 2010 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Jul 20, 2024 Accepting new patients
University Medical Center Management Corporation CurrentSince Sep 25, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 27, 2023 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Nov 11, 2024 Accepting new patients
Emory Medical Care Foundation Inc Nurse Practitioner Current Accepting new patients
Northlake Anesthesiologists, a Professional Corporation CurrentSince Nov 8, 2021 Accepting new patients
Tower Anesthesia Associates Inc CurrentSince Sep 1, 2019 Accepting new patients
Amsurg Arcadia Anesthesia LP CurrentSince Apr 23, 2017 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Dec 21, 2010 Accepting new patients

Locations

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

9090 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 421-0066

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

1000 Ochsner Blvd
Covington, LA 70433
Phone (985) 898-7051

42570 S Airport Rd
Hammond, LA 70403
Phone (985) 510-6135

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1514 Jefferson Hwy
New Orleans, LA 70121

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

1700 Lindberg Dr
Slidell, LA 70458
Phone (800) 598-7291

Organizations & group practices 20

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.

View all 20

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1437169539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-280-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8555 Floence Ave",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "90240",
            "country_code": "US",
            "telephone_number": "562-923-9351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "404-242-9817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 s wesmoreland ave",
            "address_purpose": "LOCATION",
            "city": "los angeles",
            "state": "CA",
            "postal_code": "90005",
            "country_code": "US",
            "telephone_number": "404-242-9817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBRICHT",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "CRNA, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95007196",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN123975",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN123975",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95000640",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "211667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP95007196",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA95000640",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NP95007196",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KUBRICHT",
            "middle_name": "KATHERINE",
            "credential": "NP, CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.