Active NPI
Kathleen A Brennen, CRNA
- Certified Registered Nurse Anesthetist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024173101
- Practice address
- 2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178 - Phone
- (757) 470-5570
- Fax
- (757) 363-6204
- NPI assigned
- Mar 26, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA.08354-NA | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024173101 | VA | Primary |
Addresses
Primary practice location
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Mailing address
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 470-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.08354-NA | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| SMG Anesthesia Specialists LLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Virginia, LLC | Anesthesiology | Current | Accepting new patients |
| Ambulatory Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Childrens Specialty Group PLLC | Current | Accepting new patients | |
| Carolina Anesthesiology, PA | Anesthesiology | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850
229 Clearfield Ave
Ste 200
Virginia Beach, VA 23462
Phone (757) 312-6300
1037 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 491-3535
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
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
- Virginia Beach, VA
- NPI 1518205004
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1720192230
-
- Pediatrics Physician
- Norfolk, VA
- NPI 1255354130
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1992752521
-
- Anesthesiology Physician
- High Point, NC
- NPI 1629032347
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1700903440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 GLENN MITCHELL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560178",
"telephone_number": "757-470-5570",
"fax_number": "757-363-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 GLENN MITCHELL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560178",
"telephone_number": "757-470-5570",
"fax_number": "757-363-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNEN",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.08354-NA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024173101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.