Kelley Gardner Crna, Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2120 Issued in CA

Legal business name

KELLEY GARDNER CRNA, INC

Practice address

7500 Hospital Dr
Sacramento, CA 95823-5403

Phone

(916) 423-6019

NPI assigned

Sep 21, 2014

Organization subpart

No

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

Authorized official

Name

Kelley Rhene Gardner, CRNA

Title

Principle

Phone

(208) 286-0137

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1411257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411257600000",
    "number": "1902208085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4518",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "894494518",
            "telephone_number": "866-640-3005",
            "fax_number": "866-640-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HOSPITAL DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235403",
            "telephone_number": "916-423-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY GARDNER CRNA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-21",
        "last_updated": "2014-09-21",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "RHENE",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "208-286-0137",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia C. Keller, MD
• Melissa R Keller, M.D., PH.D.
• Robin Michelle Keller
• Shevah Keller
• Vickie Michelle Keller, LCSW
• Aleah Kelley
• Alyn Kelley
• Jack Steven Kelley
• Kaiannia Kelley
• Kenneth M Kelley, MD

• Certified Registered Nurse Anesthetist in Sacramento, CA
• Providers in Sacramento, 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 Sep 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.