Active NPI
Kathleen Carilla, CRNA
- Certified Registered Nurse Anesthetist
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN278989L
- Practice address
- Riddle Memorial Hospital
1068 W. Baltimore Pike
Media, PA 19063 - Phone
- (484) 227-9400
- NPI assigned
- Dec 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN278989L | PA | Primary |
Addresses
Primary practice location
Riddle Memorial Hospital
1068 W. Baltimore Pike
Media, PA 19063
Mailing address
United Anesthesia Services
610 W. Germantown Pike Suite 150
Plymouth Meeting, PA 19462
Phone (610) 525-4966
Other names 1
- Kathleen A Palmatory
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071221000117 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648360065 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Anesthesia Services PC
Practice addresses (Care Compare)
744 W Lancaster Ave
Wayne, PA 19082-2523
Phone (610) 645-2000
Hospital & facility affiliations
- Riddle Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN278989L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Anesthesia Services PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Society Hill Anesthesia Consultants of New Jersey, PC | Past | Accepting new patients |
Locations
1068 W Baltimore Pike
Media, PA 19063
Phone (610) 566-9400
610 W Germantown Pike
Ste 150
Plymouth Meeting, PA 19462
Phone 6105254966 ext. 156
744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Wynnewood, PA
- NPI 1053366062
Nurse Anesthetist, Certified Registered, PA
-
- Anesthesiology Physician
- Cherry Hill, NJ
- NPI 1396797445
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": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1508049909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNITED ANESTHESIA SERVICES",
"address_2": "610 W. GERMANTOWN PIKE SUITE 150",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "19462",
"telephone_number": "610-525-4966",
"fax_number": "610-525-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RIDDLE MEMORIAL HOSPITAL",
"address_2": "1068 W. BALTIMORE PIKE",
"city": "MEDIA",
"state": "PA",
"postal_code": "19063",
"telephone_number": "484-227-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARILLA",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN278989L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "PALMATORY",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.