Active NPI
Kimberly McConnell, CRNA
- Certified Registered Nurse Anesthetist
- Anniston, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-118759
- Practice address
- 400 E 10TH St
Anniston, AL 36207-4716 - Phone
- (256) 235-5278
- NPI assigned
- Jan 12, 2016
- 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 | 1-118759 | AL | Primary |
Addresses
Primary practice location
400 E 10TH St
Anniston, AL 36207-4716
Mailing address
PO Box 93
Landisville, PA 17538-0093
Phone (800) 800-1617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Gadsden, AL 35901
Phone (256) 546-5281
1 Commerce Square
Gadsden, AL 35901-5252
1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 546-5281
400 Northwodd Dr
Centre, AL 35960-1023
Phone (256) 546-5281
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-118759 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates | Current | Accepting new patients | |
| Gadsden HB Medical Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Epix Anesthesia of Alabama LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382
1 Commerce Sq
Gadsden, AL 35901
1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000
Organizations & group practices 3
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
- Gadsden, AL
- NPI 1821013905
-
- Emergency Medicine Physician
- Gadsden, AL
- NPI 1750061610
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Roswell, GA
- NPI 1629427059
AL, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gadsden, AL
- NPI 1225081516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1619333226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93",
"city": "LANDISVILLE",
"state": "PA",
"postal_code": "175380093",
"telephone_number": "800-800-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362074716",
"telephone_number": "256-235-5278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "KIMBERLY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-118759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.