Kimberly Andrews Bordelon, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

781241 Issued in TX

Practice address

2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817

Phone

(713) 620-4000

NPI assigned

Dec 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, LA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LCMS Cardiovascular Diseases, LLCGroup PAC ID 1951541515, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJBIAD

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.

• LCMS Cardiovascular Diseases, LLC

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1285869370
  Medicare reassignment Care Compare group NPD
• Lake Charles Anesthesiology, Apmc

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1588674790
  Medicare reassignment NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Associates Group PLLC

  • Anesthesiology Physician
  • Beaumont, TX
  • NPI 1477078202
  Medicare reassignment
• Southern Anesthetics, PLLC

  • Anesthesiology Physician
  • Beaumont, TX
  • NPI 1821225475
  NPD
• Coastal Pain Care PA

  • Interventional Pain Medicine Physician
  • Beaumont, TX
  • NPI 1891778171
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southwest Louisiana Hospital Association Inc

  • Gastroenterology Physician
  • Lake Charles, LA
  • NPI 1285351411

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  • Rheumatology Physician
  • Lake Charles, LA
  • NPI 1659424075

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1972549855
  Care Compare affiliation

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1750619615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "STE P3600",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021515",
            "telephone_number": "409-838-5214",
            "fax_number": "409-838-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "STE. 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS BORDELON",
        "first_name": "KIMBERLY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "781241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8144UA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212463801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew J Schneider, DPM
• Andrew M. Quinn III, MD PLLC
• Andrew Mann Optometrist PA
• Andrew Ndukwu Dba Wisdom Medical Supply
• Andrew Tang MD PA
• Alexandria Andrews
• Ann Elizabeth Andrews, DMD
• Arun A Andrews, M.D.
• Ashley Vanessa Andrews
• Bobbie S Andrews, LMSW

• Certified Registered Nurse Anesthetist in Houston, TX
• Providers in Houston, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.