Active NPI
Kathleen D Liermann, CRNA
- Certified Registered Nurse Anesthetist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024168046
- Practice address
- 4320 Seminary Rd
Alexandria, VA 22304-1535 - Phone
- (202) 577-8337
- NPI assigned
- Apr 1, 2008
- Last updated
- Dec 18, 2008
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN544477 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024168046 | VA | Primary |
Addresses
Primary practice location
4320 Seminary Rd
Alexandria, VA 22304-1535
Mailing address
PO Box 37090
Baltimore, MD 21297-3090
Phone (202) 577-8337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1939 Roland Clarke PL
Suite 200
Reston, VA 20191-1445
Phone (703) 766-2650
8140 Ashton Ave
Suite 212
Manassas, VA 20109-5701
Phone (703) 365-9085
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN544477 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Dominion Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393
1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484
8140 Ashton Ave
Ste 212
Manassas, VA 20109
Phone (703) 365-9085
1939 Roland Clarke Pl
Ste 200
Reston, VA 20191
Phone (703) 435-3366
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
DC, Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1821260571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37090",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973090",
"telephone_number": "202-577-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 SEMINARY RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041535",
"telephone_number": "202-577-8337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIERMANN",
"first_name": "KATHLEEN",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "RN544477",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024168046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.