Alexandra E. Kashmanian, CRNA

Key facts

NPI

1437613403

Entity type

Individual (NPI type 1)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

License

APRN0223 (RI)

Practice address

100 Kenyon Ave
Wakefield, RI 02879-4216

Phone

(401) 782-8000

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Narragansett Bay Anesthesia, LLC Anesthesiology Physician · Warwick, RI · NPI 1861445728
  Medicare reassignment Care Compare group NPD NURSE ANESTHETIST, CERTIFIED REGISTERED · RI

Hospital & facility affiliations 1

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

• South County Hospital Healthcare System General Acute Care Hospital · Wakefield, RI · NPI 1952366106
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Narragansett Bay Anesthesia LLC (95 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• South County Hospital Inc Hospital · Wakefield, RI · CCN 410008

Medicare participation

Medicare fee-for-service enrollment

Enrolled in RI

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Alexandra E. Deuel Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 7, 2023.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1437613403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 RICCI LN",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525918",
            "telephone_number": "401-741-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KENYON AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794216",
            "telephone_number": "401-782-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHMANIAN",
        "first_name": "ALEXANDRA",
        "middle_name": "E.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2290026",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2290026",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "APRN0223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110151783A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "DEUEL",
            "middle_name": "E.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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