Active NPI
Gail A. Kimmerle, CRNA
- Registered Nurse
- Allentown, PA
National Provider Identifier
1932195740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN284139L
- Practice address
- 17TH & Chew Street
Allentown, PA 18102 - Phone
- (610) 402-8896
- Fax
- (610) 402-9029
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN284139L | PA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 045190 | PA |
Addresses
Primary practice location
17TH & Chew Street
Allentown, PA 18102
Mailing address
1245 S Cedar Crest Blvd
Suite #301
Allentown, PA 18103-6258
Phone (610) 402-8896
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000726 | Other | PA | KHP CENTRAL |
| 50034713 | Other | PA | CAPITAL ADVANTAGE |
| P00198553 | Other | PA | RAIL ROAD MEDICARE |
| 1627967 | Other | PA | HIGHMARK |
| 2304225000 | Other | PA | INDEP. BLUE CROSS |
| 87367 | Other | PA | GEISINGER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 045190 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Anesthesia, Inc. | Current | Accepting new patients | |
| Anesthesia Associates Inc. | Past | 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 3
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
-
- Pain Medicine (Anesthesiology) Physician
- Wilkes Barre, PA
- NPI 1295751915
-
- 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": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1932195740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 S CEDAR CREST BLVD",
"address_2": "SUITE #301",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036258",
"telephone_number": "610-402-8896",
"fax_number": "610-402-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17TH & CHEW STREET",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18102",
"telephone_number": "610-402-8896",
"fax_number": "610-402-9029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMERLE",
"first_name": "GAIL",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN284139L",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "045190",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHP CENTRAL",
"identifier": "2000726",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL ADVANTAGE",
"identifier": "50034713",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00198553",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "1627967",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEP. BLUE CROSS",
"identifier": "2304225000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "87367",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.