Kimberly Blackwell Lopez, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95001342 Issued in CA

Practice address

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872

Phone

(808) 854-7133

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Jordan Blackwell Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Nursing Anesthesia IncGroup PAC ID 9436459278, 43 clinicians

Coachella Valley Anesthesia a Professional CorporationGroup PAC ID 5698131969, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Coachella Valley Anesthesia a Professional Corporation

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1013662048

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Mission Nursing Anesthesia, Inc

  • Certified Registered Nurse Anesthetist
  • Rancho Mirage, CA
  • NPI 1932571551

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Golden Springs Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Cathedral City, CA
  • NPI 1659885325
  NPD
• Raelle Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Riverside, CA
  • NPI 1437499266

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1790325074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58607 PIEDMONT DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922846408",
            "telephone_number": "808-854-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "808-854-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KIMBERLY",
        "middle_name": "BLACKWELL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BLACKWELL",
            "middle_name": "JORDAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Esther Lopez
• Carina Lopez
• Dianna Lopez
• Dulce Lopez
• Jeckissa Lopez
• Reyna Lopez
• Sophia Marie Lopez
• Veronica Rose Lopez
• Yerza Lopez
• Yuvitza Fernanda Lopez, MD

• Certified Registered Nurse Anesthetist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; 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.