Individual provider Active NPI

Kimberlee Goodwin, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1447421326
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
41428 Issued in TX
Practice address
17080 Red Oak Dr
Houston, TX 77090-2602
Phone
(281) 880-6991
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 41428 TX Primary

Addresses

Primary practice location

17080 Red Oak Dr
Houston, TX 77090-2602

Mailing address

714 FM 1960 Rd W
Suite 206
Houston, TX 77090-3405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301000738 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496936197 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

17080 Red Oak Dr
Houston, TX 77090-2602
Phone (469) 863-9978

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.22 of 100Reported as group
Quality
21.89
Improvement activities
0
Cost
70.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41428TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Jan 1, 2024 Accepting new patients
Northwest Anesthesiology & Pain Services, P.a. CurrentSince Dec 10, 2023 Accepting new patients
Best Choice Anesthesia & Pain PLLC CurrentSince Apr 18, 2016 Accepting new patients
American Anesthesia Partners, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Atlantis Pharmacy LLC Past Accepting new patients

Locations

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

17322 Red Oak Dr
Houston, TX 77090
Phone (281) 880-9180

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

5420 Dashwood Dr
Ste 103
Houston, TX 77081
Phone (713) 661-9550

7010 Champions Plaza Dr
Houston, TX 77069
Phone (832) 698-5320

7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320

7010 Champions Plaza Dr
Ste 400
Houston, TX 77069
Phone (832) 698-5320

21720 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (281) 492-1234

5146 Preston Ave
Pasadena, TX 77505
Phone (345) 203-5600

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

17207 Kuykendahl Rd
Ste 220
Spring, TX 77379
Phone (832) 698-5320

9303 New Trails Dr
Ste 185
The Woodlands, TX 77381
Phone (281) 882-3601

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27020/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kgoodwin@direct.uspi.com

Organizations & group practices 6

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.

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1447421326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 FM 1960 RD W",
            "address_2": "SUITE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17080 RED OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902602",
            "telephone_number": "281-880-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "KIMBERLEE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "41428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.