Active NPI
Kimberly Anne Perry, CRNA
- Certified Registered Nurse Anesthetist
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 110597
- Practice address
- 801 5TH St
Sioux City, IA 51101-1326 - Phone
- (712) 279-2505
- NPI assigned
- Apr 28, 2009
- Last updated
- Apr 28, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 110597 | IA | Primary |
Addresses
Primary practice location
801 5TH St
Sioux City, IA 51101-1326
Mailing address
400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-3613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, SD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 5TH St
Sioux City, IA 51101-1326
Phone (866) 494-3001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R059899 | SD | MD | Registered Nurse |
| 110597 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| Floyd Valley Healthcare | Current | Accepting new patients | |
| MHC Anesthesia Services | Current | Accepting new patients | |
| Siouxland Anesthesiology, LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Floyd Valley Healthcare | Current | Accepting new patients |
Locations
714 Lincoln St NE
Le Mars, IA 51031
Phone (712) 546-3338
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
400 10th St E
Waconia, MN 55387
101 Tower Rd
Ste 201
North Sioux City, SD 57049
Phone (605) 232-3332
600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Sioux City, IA
- NPI 1639244270
-
- Critical Access Hospital
- Le Mars, IA
- NPI 1326109315
-
dba Floyd Valley ER Services
- Emergency Medicine Physician
- Le Mars, IA
- NPI 1578625653
-
dba St. Luke's Regional Medical Center
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
-
- Pain Medicine (Anesthesiology) Physician
- Dakota Dunes, SD
- NPI 1669496337
Nurse Anesthetist, Certified Registered
-
dba Floyd Valley Pharmacy
- Community/Retail Pharmacy
- Le Mars, IA
- NPI 1710765433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1932343423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "952-442-3613",
"fax_number": "952-442-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 5TH ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011326",
"telephone_number": "712-279-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-28",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "110597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.