NPIMap

Individual provider Active NPI

Kimberly Blaine Pennington, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1508160490
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3006804 Issued in KY
Practice address
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone
(502) 636-7111
NPI assigned
Jan 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 3006804 KY Primary

Addresses

Primary practice location

1 Audubon Plaza Dr
Louisville, KY 40217-1318

Mailing address

425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110214000700 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294915823 Reassigns benefits to 7 organizations
I20180307001675 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294915823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Consultants Enterprises PLLCGroup PAC ID 9830268671, 124 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Universal Anesthesia Services LLCGroup PAC ID 9830268341, 58 clinicians
Commonwealth Anesthesia, PSCGroup PAC ID 5092627521, 181 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (859) 268-1030

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100

444 S 1St St
Louisville, KY 40202-1474
Phone (859) 268-1030

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2023 Accepting new patients
Ema Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2018 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Louisville Anesthesia Provision LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2021 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince May 29, 2023 Accepting new patients
Universal Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 14, 2017 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2018 Accepting new patients
Lec Ancillary PLLC Nurse Anesthetist, Certified Registered CurrentSince May 6, 2018 Accepting new patients
Anesthesia Dynamics LLC Past Accepting new patients
Louisville Endoscopy Center, PLLC Past Accepting new patients
Louisville Eye Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3423 Solutions Ctr
Chicago, IL 60677

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

200 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 920-0055

360 Missouri Ave
Ste 102
Jeffersonvlle, IN 47130
Phone (502) 364-0902

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263

3605 Northgate Ct
Ste 101
New Albany, IN 47150
Phone (812) 944-4263

2000 Tunnel Hill Rd
Elizabethtown, KY 42701
Phone (270) 304-2520

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

4005 DuPont Cir
Louisville, KY 40207
Phone (502) 897-7401

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398

444 S 1st St
Ste 202
Louisville, KY 40202
Phone (502) 238-2888

444 S 1st St
Louisville, KY 40202
Phone (502) 238-2888

1400 Poplar Level Rd
Ste 2
Louisville, KY 40217
Phone (502) 452-9567

2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Organizations & group practices 12

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1508160490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEWIS HARGETT CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033590",
            "telephone_number": "859-268-1030",
            "fax_number": "859-269-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUDUBON PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171318",
            "telephone_number": "502-636-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "KIMBERLY",
        "middle_name": "BLAINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3006804",
            "primary": true
        }
    ],
    "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 Mar 10, 2020; 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.