Individual provider Active NPI

Kathleen M. Labelle, CRNA

  • Certified Registered Nurse Anesthetist
  • Port Huron, MI
National Provider Identifier
1497856389
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704154589 Issued in MI
Practice address
2601 Electric Ave
Port Huron, MI 48060-6587
Phone
(810) 985-1500
Fax
(810) 966-3104
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4704154589 MI Primary

Addresses

Primary practice location

2601 Electric Ave
Port Huron, MI 48060-6587

Mailing address

5324 Shorewood Dr
Fort Gratiot, MI 48059-3135

Other identifiers 3

IdentifierTypeStateIssuer
P28297ROtherMIBCN
KL154589OtherMIBLUE CROSS
317410110MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000902 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931125739 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Services-Port Huron LLCGroup PAC ID 7214245208, shared by 3 NPIs, 10 clinicians
Lakeshore Surgery Anesthesia BillingGroup PAC ID 6709321268, 8 clinicians

Practice addresses (Care Compare)

2601 Electric Ave
Lake Huron Medical Center
Port Huron, MI 48060-6587

4190 24TH Ave
Fort Gratiot, MI 48059-3882
Phone (810) 216-4300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services-Port Huron LLC CurrentSince Jul 1, 2016 Accepting new patients
Lakeshore Surgery Anesthesia Billing Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
The Digestive Endoscopy Center of Michigan LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2013 Accepting new patients
Hurley Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jan 25, 2008 Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Jul 3, 2018 Accepting new patients
The Digestive Endoscopy Center of Michigan LLC Current Accepting new patients
Hurley Medical Center CurrentSince Jan 25, 2008 Accepting new patients
Prime Healthcare Services-Port Huron LLC CurrentSince Jul 1, 2016 Accepting new patients
Prime Healthcare Services-Port Huron LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2020 Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

6240 Rashelle Dr
Ste 101
Flint, MI 48507
Phone (810) 600-4000

4190 24th Ave
Fort Gratiot, MI 48059
Phone (810) 216-4300

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

2601 Electric Ave
#C
Port Huron, MI 48060
Phone (810) 216-1500

Organizations & group practices 9

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497856389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 SHOREWOOD DR",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ELECTRIC AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606587",
            "telephone_number": "810-985-1500",
            "fax_number": "810-966-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABELLE",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704154589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P28297R",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "KL154589",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317410110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.