Individual provider Active NPI

Bonnie M Kennedy, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
National Provider Identifier
1922008432
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1753 Issued in NC
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

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080318000186 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648261982 Reassigns benefits to 2 organizations
I20170721000789 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648261982 Reassigns benefits to 15 organizations

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
Novant Health Mint Hill Medical Center, LLCGroup PAC ID 8123374394, 31 clinicians

Practice addresses (Care Compare)

8201 Health Loop
Charlotte, NC 28215-7072
Phone (980) 302-1000

Hospital & facility affiliations

  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1753NCMDAddiction (Substance Use Disorder) Counselor
60662SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2021 Accepting new patients
Medical Park Hospital LLC CurrentSince Aug 23, 2021 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2021 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Aug 23, 2021 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Aug 23, 2021 Accepting new patients
Novant Health Ballantyne Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2021 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Surgicare Plus LLC CurrentSince Aug 18, 2014 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2021 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Aug 23, 2021 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Sep 11, 2018 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Carolina Anesthesiology, PA CurrentSince Jun 10, 2017 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Aug 23, 2021 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Aug 23, 2021 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2021 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2021 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2021 Accepting new patients
Medical Park Hospital LLC CurrentSince Aug 23, 2021 Accepting new patients
Walton Anesthesia Associates, PC CurrentSince Sep 24, 2007 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.

View all 31

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.