Active NPI
Nicole Kawa, CRNA
- Certified Registered Nurse Anesthetist
- Upland, PA
National Provider Identifier
1891972832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN560901
- Practice address
- 30 Medical Center Blvd
Suite 305
Upland, PA 19013 - Phone
- (610) 874-6448
- Fax
- (610) 876-7399
- NPI assigned
- Jan 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN560901 | PA | Primary |
Addresses
Primary practice location
30 Medical Center Blvd
Suite 305
Upland, PA 19013
Mailing address
914 South Avenue
Apt a-15
Secane, PA 19018
Phone (781) 718-9358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN560901 | Other | PA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Anesthesia, Inc. | Current | Accepting new patients | |
| Associates in Anesthesia | Past | Accepting new patients |
Locations
1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147
30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1891972832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 SOUTH AVENUE",
"address_2": "APT A-15",
"city": "SECANE",
"state": "PA",
"postal_code": "19018",
"telephone_number": "781-718-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MEDICAL CENTER BLVD",
"address_2": "SUITE 305",
"city": "UPLAND",
"state": "PA",
"postal_code": "19013",
"telephone_number": "610-874-6448",
"fax_number": "610-876-7399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWA",
"first_name": "NICOLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN560901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN560901",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upland, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.