Active NPI
Kathryn Link Carter, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R858145
- Practice address
- 1850 Chadwick Dr
Jackson, MS 39204-3404 - Phone
- (601) 376-1848
- Fax
- (601) 376-1894
- NPI assigned
- Oct 23, 2006
- 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 | R858145 | MS | Primary |
Addresses
Primary practice location
1850 Chadwick Dr
Jackson, MS 39204-3404
Mailing address
PO Box 7539
Jackson, MS 39284-7539
Phone (601) 376-1848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00120521 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1190 N State St
Jackson, MS 39202-2413
Phone (601) 968-1790
1225 N State St
Ms Baptist Medical Center
Jackson, MS 39202-2064
Phone (601) 317-2802
2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R858145 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Anesthesia Associates PA | Current | Accepting new patients | |
| Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physicians Anesthesia Group Staffing, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Perioperative Services of Mississippi, LLC | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430
1190 N State St
Ste 102
Jackson, MS 39202
Phone (601) 968-1790
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
501 Marshall St
Ste 301
Jackson, MS 39202
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
Interoperability endpoints
- kcarter219374@ummc.direct-ci.com
Organizations & group practices 4
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
- Jackson, MS
- NPI 1750300836
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1881123123
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1558102772
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1780737577
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
-
- Women's Hospital
- Jackson, MS
- NPI 1285681841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609959501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7539",
"city": "JACKSON",
"state": "MS",
"postal_code": "392847539",
"telephone_number": "601-376-1848",
"fax_number": "601-376-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 CHADWICK DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392043404",
"telephone_number": "601-376-1848",
"fax_number": "601-376-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "KATHRYN",
"middle_name": "LINK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R858145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120521",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
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.