NPIMap

Individual provider Active NPI

Paul F. Kilmartin, CRNA

  • Certified Registered Nurse Anesthetist
  • Milton, FL
National Provider Identifier
1932175031
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA 23455 Issued in RI
Practice address
6820 Berryhill Street
Milton, FL 32570-2265
Phone
(850) 981-1195
Fax
(850) 981-2561
NPI assigned
Feb 27, 2006
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA 23455 RI Primary

Addresses

Primary practice location

6820 Berryhill Street
Milton, FL 32570-2265

Mailing address

6820 Berryhill Street
Milton, FL 32570-2265
Phone (850) 981-1195

Other identifiers 3

IdentifierTypeStateIssuer
306633900MedicaidFL
009976515OtherALMEDICARE
G36112OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNA 23455RIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Anesthesia Associates, PA Past Accepting new patients
Anesthesia Associates of Kent County, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
M and M Anesthesiology PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Planned Parenthood of Southern New England, Inc. Nurse Anesthetist, Certified Registered PastSince Apr 15, 2017 Accepting new patients
Southern New England Anesthesia and Pain Associates, Inc Past Accepting new patients
Jordan Hospital Anesthesia Associates, PC Past Accepting new patients
Anesthesia Health Care Partners of Florida Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Planned Parenthood of Southern New England Past Accepting new patients
New England Anesthesiologists, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11510/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1932175031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 BERRYHILL STREET",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702265",
            "telephone_number": "850-981-1195",
            "fax_number": "850-981-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 BERRYHILL STREET",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702265",
            "telephone_number": "850-981-1195",
            "fax_number": "850-981-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILMARTIN",
        "first_name": "PAUL",
        "middle_name": "F.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "RNA 23455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306633900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "009976515",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G36112",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.