Kathleen S Elms, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R61983 Issued in SC

Practice address

300 Singleton Ridge Rd
Conway, SC 29526-9142

Phone

(843) 347-8037

Fax

(843) 347-8056

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Kathleen Kelly Sullivan Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Beach Anesthesia, LLC

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1215061429
  Medicare reassignment NPD
• Coastal Healthcare Resources Inc

  • Anesthesiology Physician
  • Florence, SC
  • NPI 1467635128

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494
  Medicare reassignment NPD
• McLeod Physician Associates II

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1922555739
  NPD
• Conway Hospital Long Term Care Services, Inc

  • Nursing Facility/Intermediate Care Facility
  • Conway, SC
  • NPI 1750466223
  NPD (past)
• Conway Hospital, Inc.

  • General Acute Care Hospital
  • Conway, SC
  • NPI 1134172000
  NPD (past)
• Anesthesia Network Services, LLC

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1508199142
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689697476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295280829",
            "telephone_number": "843-347-8037",
            "fax_number": "843-347-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-347-8037",
            "fax_number": "843-347-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMS",
        "first_name": "KATHLEEN",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "R61983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0927",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SULLIVAN",
            "middle_name": "KELLY",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Iphigenia Eleftheriou-Akerlund, MS RD LD
• Elite Orthopaedics of South Carolina, LLC
• Sarah Elliott, APRN
• Michael H Ellis, M.D.
• John Jay Elms, MD
• Christina Cooke Elvis
• Ryan Eric Embertson, M.D.
• Empowered Counseling, LLC
• Jennifer Ennis, CCC-SLP
• William Epperson

• Certified Registered Nurse Anesthetist in Conway, SC
• Providers in Conway, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.