Individual provider Active NPI

Kimberly Rae Latham

  • Certified Registered Nurse Anesthetist
  • Montgomery, AL
National Provider Identifier
1730240276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-081990 Issued in AL
Practice address
Premier Anesthesia-Baptist Hospital East
400 Taylor Road
Montgomery, AL 36617
Phone
(334) 277-8330
NPI assigned
Dec 12, 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 1-081990 AL Primary

Addresses

Primary practice location

Premier Anesthesia-Baptist Hospital East
400 Taylor Road
Montgomery, AL 36617

Mailing address

281 Bagley Dr
Trussville, AL 35173-4231
Phone (205) 567-8381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151106002371 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092814590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-081990ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 24, 2022 Accepting new patients
Comfort Anesthesia Associates Inc CurrentSince Nov 15, 2023 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

9300 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 663-3700

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488

36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

Organizations & group practices 3

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730240276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 BAGLEY DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351734231",
            "telephone_number": "205-567-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PREMIER ANESTHESIA-BAPTIST HOSPITAL EAST",
            "address_2": "400 TAYLOR ROAD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36617",
            "telephone_number": "334-277-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "KIMBERLY",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-081990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

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.
  • 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.

Verify at the official NPI Registry.