Active NPI
Bonnie M Kennedy, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1753
- Practice address
- 8201 Healthcare Loop
Charlotte, NC 28215-7072 - Phone
- (980) 302-1000
- NPI assigned
- Jul 26, 2005
- 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 | 60662 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 1753 | NC | Primary |
Addresses
Primary practice location
8201 Healthcare Loop
Charlotte, NC 28215-7072
Mailing address
6555 Barrier Georgeville Rd
Concord, NC 28025-8400
Phone (706) 431-1097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8201 Health Loop
Charlotte, NC 28215-7072
Phone (980) 302-1000
Hospital & facility affiliations
- Novant Health Mint Hill Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1753 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 60662 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Sameday Surgery Center at Huntersville LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| Novant Health Ballantyne Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Kernersville Outpatient Surgery LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Current | Accepting new patients | |
| Surgicare Plus LLC | Current | Accepting new patients | |
| Novant Health Mint Hill Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Novant Health Rowan Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Carolina Anesthesiology, PA | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Matthews Medical Center LLC | Current | Accepting new patients | |
| Novant Health Clemmons Outpatient Surgery, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Brunswick Community Hospital, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Walton Anesthesia Associates, PC | Current | Accepting new patients | |
| Colleton Medical Hospitalists LLC | Past | Accepting new patients | |
| Colleton Medical Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ahp of Central Georgia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
367 Athens Hwy
Ste 100
Loganville, GA 30052
Phone (676) 466-6760
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650
7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100
401 Ferndale Blvd
High Point, NC 27262
Phone (336) 882-2567
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600
Organizations & group practices 31
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.
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- High Point, NC
- NPI 1629032347
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Specialist
- Winston-Salem, NC
- NPI 1003867516
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1760190607
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Clemmons, NC
- NPI 1528521887
-
- Ambulatory Surgical Clinic/Center
- Kernersville, NC
- NPI 1750892659
-
- Specialist
- Matthews, NC
- NPI 1184782419
-
- Neurology Physician
- Salisbury, NC
- NPI 1508931544
Nurse Anesthetist, Certified Registered
-
- Specialist
- Thomasville, NC
- NPI 1033160205
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1972001469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1922008432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6555 BARRIER GEORGEVILLE RD",
"city": "CONCORD",
"state": "NC",
"postal_code": "280258400",
"telephone_number": "706-431-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 HEALTHCARE LOOP",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282157072",
"telephone_number": "980-302-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "BONNIE",
"middle_name": "M",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "60662",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "1753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.