Active NPI
Jeannine Williams, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 730A
- Practice address
- 530 S Jackson St
Louisville, KY 40202-1675 - Phone
- (502) 852-6901
- Fax
- (502) 852-6056
- NPI assigned
- Mar 8, 2006
- Last updated
- Jul 10, 2013
- 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 | 730A | KY | Primary |
| Registered Nurse | 163W00000X | 1049522 | KY |
Addresses
Primary practice location
530 S Jackson St
Louisville, KY 40202-1675
Mailing address
530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-6901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9900 Corporate Campus Dr
Suite 3000
Louisville, KY 40223-4060
Phone (888) 589-8550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1049522 | KY | MD | Registered Nurse |
| 730A | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Anesthesia Partners PLLC | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Past | Accepting new patients | |
| University Anesthesiology Associates PSC | Registered Nurse | Past | Accepting new patients |
Locations
6464 W Sunset Blvd
Ste 790
Los Angeles, CA 90028
9900 Corporate Campus Dr
Ste 3000
Louisville, KY 40223
Phone (502) 657-6013
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1750917357
-
- Certified Registered Nurse Anesthetist
- Louisville, KY
- NPI 1679020689
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1578516852
Registered Nurse
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1447228309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S JACKSON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021675",
"telephone_number": "502-852-6901",
"fax_number": "502-852-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S JACKSON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021675",
"telephone_number": "502-852-6901",
"fax_number": "502-852-6056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JEANNINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "730A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1049522",
"primary": false
}
],
"identifiers": [],
"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 Jul 10, 2013; 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.