Individual provider Active NPI

Kimberly A Crosland, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Urbana, MD
National Provider Identifier
1700831740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R168180 Issued in MD
Practice address
3823 Kendall Dr
Urbana, MD 21704-7884
Phone
(301) 874-6075
Fax
(301) 874-6075
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R168180 MD Primary

Addresses

Primary practice location

3823 Kendall Dr
Urbana, MD 21704-7884

Mailing address

3823 Kendall Dr
Urbana, MD 21704-7884
Phone (301) 874-6075

Other identifiers 1

IdentifierTypeStateIssuer
407564100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Sassi PA Nurse Anesthetist, Certified Registered PastSince Feb 5, 2014 Accepting new patients
Anesthesia Relief LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Lifebridge Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Carroll County Anesthesia Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. PastSince May 1, 2015 Accepting new patients
American Anesthesiology Associates of Virginia, Inc Past Accepting new patients
East Valley Endoscopy LLC PastSince Sep 30, 2013 Accepting new patients
Ashland Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Blue Ridge Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700831740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 KENDALL DR",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047884",
            "telephone_number": "301-874-6075",
            "fax_number": "301-874-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 KENDALL DR",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047884",
            "telephone_number": "301-874-6075",
            "fax_number": "301-874-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSLAND",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R168180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407564100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, MD

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

Verify at the official NPI Registry.