Individual provider Active NPI

Kimberly Shae Burks, CRNA

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
National Provider Identifier
1831561240
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11038949 Issued in FL
Practice address
110 29TH Ave N
Suite 301
Nashville, TN 37203
Phone
(615) 327-4304
Fax
(615) 327-7940
NPI assigned
Oct 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 20876 TN
Certified Registered Nurse Anesthetist 367500000X APRN11038949 FL Primary
Critical Care Medicine Registered Nurse 163WC0200X 885804 MS
Certified Registered Nurse Anesthetist 367500000X 2019012507 MO

Addresses

Primary practice location

110 29TH Ave N
Suite 301
Nashville, TN 37203

Mailing address

110 29TH Ave N
Suite 301
Nashville, TN 37203-1401
Phone (615) 327-4304

Other practice location 1

1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 541-1111

Other practice location 2

9352 Park West Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1000

Other practice location 3

One Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-2568

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MO, KY, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160304000702 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810293651 Reassigns benefits to 3 organizations
I20191118000318 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810293651 Reassigns benefits to 3 organizations
I20201103003143 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810293651 Reassigns benefits to 2 organizations
I20250428004317 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810293651 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SRQ Anesthesia LLCGroup PAC ID 8820576911, 21 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

2902 59TH St W
Suite G
Bradenton, FL 34209-7021
Phone (941) 792-9685

3325 S Tamiami TRL
Suite 100
Sarasota, FL 34239-5142
Phone (941) 552-3480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
885804MSMDCritical Care Medicine Registered Nurse
20876TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
SRQ Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2026 Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Feb 29, 2016 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 22, 2025 Accepting new patients
Integrated Anesthesia Services, PLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 11, 2021 Accepting new patients
Missouri Baptist Medical Center Nurse Anesthetist, Certified Registered CurrentSince Oct 28, 2024 Accepting new patients
FDHS Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 31, 2025 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jun 9, 2018 Accepting new patients
Apex Anesthesia Partners, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 9, 2018 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Anesthesia Medical Group, PC CurrentSince Feb 29, 2016 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 11, 2021 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 11, 2019 Accepting new patients

Locations (25 of 26)

2902 59th St W
Ste G
Bradenton, FL 34209
Phone (941) 792-9685

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

3325 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (941) 522-3480

983 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-5355

2089 Hawthorne St
Ste 100
Sarasota, FL 34239
Phone (941) 952-1145

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

1901 Clinch Ave
Ste 602
Knoxville, TN 37916

9430 Park West Blvd
Ste 320
Knoxville, TN 37923
Phone (615) 441-4477

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

110 29th Ave N
Ste 301
Nashville, TN 37203
Phone (615) 327-3404

222 22nd Ave N
Ste 600
Nashville, TN 37203
Phone (615) 284-8660

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1445644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1831561240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N",
            "address_2": "SUITE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031401",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N",
            "address_2": "SUITE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Clinch Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162307",
            "country_code": "US",
            "telephone_number": "865-541-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9352 Park West Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234325",
            "country_code": "US",
            "telephone_number": "865-373-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-2568",
            "fax_number": "855-903-0985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKS",
        "first_name": "KIMBERLY",
        "middle_name": "SHAE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-24",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "20876",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11038949",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MS",
            "license": "885804",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2019012507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "One Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652120001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.