Individual provider Active NPI

Kathleen Marie Callahan, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenville, SC
National Provider Identifier
1528172020
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26030 Issued in SC
Practice address
7 Independence PT Ste 300
Greenville, SC 29615-4569
Phone
(864) 522-3700
Fax
(864) 522-3705
NPI assigned
Aug 19, 2006
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 052840 NC
Certified Registered Nurse Anesthetist 367500000X 26030 SC Primary
Registered Nurse 163W00000X 209434 NC

Addresses

Primary practice location

7 Independence PT Ste 300
Greenville, SC 29615-4569

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

76 Peachtree Rd
Suite 300
Asheville, NC 28803-3505
Phone (828) 274-3477

Other identifiers 1

IdentifierTypeStateIssuer
8052652MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, DC, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070119000261 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618930579 Reassigns benefits to 4 organizations
I20200317001938 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618930579 Reassigns benefits to 1 organization
I20220224001254 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618930579 Reassigns benefits to 1 organization
I20220510000675 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618930579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193

101 E WT Harris Blvd
Suite 3215
Charlotte, NC 28262-7005
Phone (704) 927-4280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209434NCMDRegistered Nurse
052840NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince May 1, 2021 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Jun 21, 2024 Accepting new patients
Providence Anesthesiology Associates, P.a. CurrentSince Dec 1, 2023 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince May 1, 2021 Accepting new patients
Spartanburg Medical Center Nurse Anesthetist, Certified Registered CurrentSince Sep 12, 2022 Accepting new patients
Murphy Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 31, 2016 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2016 Accepting new patients
Spartanburg Medical Center CurrentSince Sep 12, 2022 Accepting new patients
Pelham Medical Center CurrentSince Sep 12, 2022 Accepting new patients
Pelham Medical Center Nurse Anesthetist, Certified Registered CurrentSince Sep 12, 2022 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Oct 31, 2016 Accepting new patients

Locations

76 Peachtree Rd
Ste 300
Asheville, NC 28803
Phone (828) 254-1969

8 Medical Park Dr
Asheville, NC 28803
Phone (828) 210-2020

101 E Wt Harris Blvd
Ste 3215
Charlotte, NC 28262
Phone 70437279742165

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1528172020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDEPENDENCE PT STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154569",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Peachtree Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288033505",
            "country_code": "US",
            "telephone_number": "828-274-3477",
            "fax_number": "828-274-7407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "052840",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "26030",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "209434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052652",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.