Steve John Kimm, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RNA-454A Issued in ID

Practice address

850 W Ironwood Dr Ste 300
Coeur D Alene, ID 83814-4903

Phone

(208) 457-7078

Fax

(208) 457-7079

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Anesthesia Associates of Coeur D Alene PLLC

  • Anesthesiology Physician
  • Coeur d'Alene, ID
  • NPI 1962440966

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Inland Northwest Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Coeur d'Alene, ID
  • NPI 1467797449

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• ASC Northwest LLC

  • Ambulatory Surgical Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1033712781
  NPD
• Albany Anesthesia PC

  • Pain Medicine (Anesthesiology) Physician
  • Albany, OR
  • NPI 1710046461
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1851353429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR STE 300",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-457-7078",
            "fax_number": "208-457-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR STE 300",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-457-7078",
            "fax_number": "208-457-7079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4171 W Expo Pkwy",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838547322",
            "country_code": "US",
            "telephone_number": "208-262-3823",
            "fax_number": "208-262-9959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMM",
        "first_name": "STEVE",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-454A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiki's Delivery Service LLC (Northwest Medical Transport)
• Klinton Chad Kilgore, D.O.
• Marissa Kilian, BS
• John J Kim, M.D.
• Karissa Kimes, LAMFT
• Donald Kincaid, PHD
• Sarah Kindler
• Kindred Mental Health LLC
• Rebecca Suzanna King-Tucker, M.D.
• Heather Louise King, NP-C

• Certified Registered Nurse Anesthetist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.