Lenoir Memorial Hospital, Incorporated
Organization Active NPI Certified Registered Nurse Anesthetist · Kinston, NC
NPI 1679517296 · NPPES record last updated Feb 4, 2022
Key facts
- NPI
- 1679517296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- H0043 (NC)
- Legal business name
- LENOIR MEMORIAL HOSPITAL, INCORPORATED
- Practice address
- 100 Airport Rd
Kinston, NC 28503-1678 - Phone
- (252) 522-7000
- NPI assigned
- Jun 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- LENOIR MEMORIAL HOSPITAL, INC.
Authorized official
- Name
- Jeffrey Wakefield
- Title
- Cfo
- Phone
- (252) 522-7903
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 5
Practitioners 122
-
Hope Ann Albritton, CRNA
-
Amy Watts Chesson, CRNA
-
David B Garza, CRNA
-
Kristy B Griffin, CRNA
-
Margaret Miller Holmes, CRNA
-
Connie Sue Lofton, CRNA
-
Stephen T Michaux-Smith, CRNA
-
Daniel Wade Simmons, CRNA
-
Varnar Spencer, CRNA
-
Courtney Bean Tilley, CRNA
-
Teresa Marie Garza, CRNA
-
Kevin Blaine Stewart, CRNA
-
Mark Edward Henning, CRNA
-
Brandi Davis Spiewak, CRNA
-
Paige Ray Bottoms, CRNA
-
Katherine Lilley Odell, CRNA
-
Charles Patrick Woodard, CRNA
-
Debra Ann Allenspach, CRNA
-
Anna Champion Baker, CRNA
-
David Anthony Betts, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Unc Health Lenoir |
Hospital | Operational/Managerial Control | May 17, 2016 |
| Unc Lenoir Health Care |
Hospital | 5% Or Greater Direct Ownership Interest | Jan 1, 1966 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040610000944 | NC | Part B Supplier - Clinic/Group Practice | 0244121226 |
Receives reassigned benefits from 19 practitioners Practice locations: Kinston, NC |
National Provider Directory
- Tax ID family
- Lenior Memorial Hosp
- Part of
- Lenior Memorial Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | H0043 | NC | Yes |
Addresses
Primary practice location
100 Airport Rd
Kinston, NC 28503-1678
Mailing address
100 Airport Rd
Kinston, NC 28503-1678
Phone (252) 522-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000233 | Medicaid | NC |
Other names
- Certified Registered Nurse Anesthetist
- UNC Lenoir Health Care
Other providers in Kinston, NC
- Lenoir Memorial Hospital Incorporated
- Lenoir Memorial Hospital, Inc.
- Lenoir Memorial Hospital, Inc.
- Lenoir Memorial Hospital, Incorporated
- Lenoir Memorial Hospital, Incorporated
- Lenoir Memorial Hospital, Incorporated
- Lenoir Memorial Hospital, Incorporated
- Lenoir Physician Network LLC
- Lenoir Physicians Network LLC
- Lenoir Physicians Network LLC
All providers in Kinston, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.