Individual provider Active NPI

Kimberly R Redden, CRNA

  • Certified Registered Nurse Anesthetist
  • Nashua, NH
National Provider Identifier
1457709230
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
062841-23 Issued in NH
Practice address
168 Kinsley St Ste 4
Nashua, NH 03060-3634
Phone
(603) 882-1501
Fax
(603) 882-9747
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 062841-23 NH Primary

Addresses

Primary practice location

168 Kinsley St Ste 4
Nashua, NH 03060-3634

Mailing address

168 Kinsley St Ste 4
Nashua, NH 03060-3634
Phone (603) 882-1501

Other practice location 1

250 Pleasant St
Concord, NH 03301-2598
Phone (603) 789-9103

Other practice location 2

80 Highland St
Laconia, NH 03246-3235
Phone (603) 789-9103

Other practice location 3

264 Pleasant St
Concord, NH 03301-2551
Phone (603) 224-3368

Other practice location 4

60 Commercial St Ste 201
Concord, NH 03301-5096
Phone (603) 789-9103

Other identifiers 1

IdentifierTypeStateIssuer
3115693MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190121001085 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234476862 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

264 Pleasant St
Concord, NH 03301-2551
Phone (603) 224-3368

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
062841-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. Current Accepting new patients
Concord Orthopaedics Professional Association Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2024 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Nov 1, 2024 Accepting new patients
Anesthesia Associates Professional Association Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2020 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Nov 1, 2024 Accepting new patients
Concord Orthopaedics Professional Association CurrentSince Jan 2, 2024 Accepting new patients

Locations

57 Regional Dr
Ste 1
Concord, NH 03301

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

60 Commercial St
Ste 201
Concord, NH 03301
Phone (603) 789-9103

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

264 Pleasant St
Concord, NH 03301

250 Pleasant St
Ste 2
Concord, NH 03301

6 Tsienneto Rd
Ste 200
Derry, NH 03038
Phone (603) 426-5222

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

85 Spring St
Ste 401
Laconia, NH 03246
Phone (603) 230-1939

80 Highland St
Ste 2
Laconia, NH 03246

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

Organizations & group practices 8

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1457709230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 KINSLEY ST STE 4",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603634",
            "telephone_number": "603-882-1501",
            "fax_number": "603-882-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 KINSLEY ST STE 4",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603634",
            "telephone_number": "603-882-1501",
            "fax_number": "603-882-9747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012598",
            "country_code": "US",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Highland St",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032463235",
            "country_code": "US",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "264 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012551",
            "country_code": "US",
            "telephone_number": "603-224-3368",
            "fax_number": "603-228-7268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Commercial St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015096",
            "country_code": "US",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDEN",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "062841-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3115693",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.