Active NPI
Sandra Keddy, CRNA
- Certified Registered Nurse Anesthetist
- Concord, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 039078-23
- Practice address
- 1 Pillsbury St
Concord, NH 03301-3556 - Phone
- (603) 224-4776
- NPI assigned
- Oct 4, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 039078-21 | NH | |
| Certified Registered Nurse Anesthetist | 367500000X | 039078-23 | NH | Primary |
Addresses
Primary practice location
1 Pillsbury St
Concord, NH 03301-3556
Mailing address
4 Greensboro Rd
Hanover, NH 03755-3100
Phone (864) 505-2454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3100822 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039078-21 | NH | MD | Registered Nurse |
| 039078-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Littleton Hospital Association | Current | Accepting new patients | |
| Littleton Hospital Association | Current | Accepting new patients | |
| Mission Health Community Multispecialty Providers, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Care Group PC | Anesthesiology | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Anesthesia Associates Professional Association | Anesthesiology | Current | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
1 Pillsbury St
Concord, NH 03301
Phone (603) 223-2300
10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440
600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 7
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
- Asheville, NC
- NPI 1457719130
-
- Anesthesiology Physician
- Concord, NH
- NPI 1881791150
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1629074224
-
- Critical Access Hospital
- Littleton, NH
- NPI 1144223702
-
- Durable Medical Equipment & Medical Supplies
- Littleton, NH
- NPI 1174398846
-
- Certified Respiratory Therapist
- Asheville, NC
- NPI 1528538766
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1639572647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GREENSBORO RD",
"city": "HANOVER",
"state": "NH",
"postal_code": "037553100",
"telephone_number": "864-505-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PILLSBURY ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013556",
"telephone_number": "603-224-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEDDY",
"first_name": "SANDRA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-04",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NH",
"license": "039078-21",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "039078-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3100822",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.