Audrey M. Kiernan, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

319782 Issued in NY

Practice address

5 Johnson Road
Latham, NY 12110-3003

Phone

(413) 737-5500

NPI assigned

Jul 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JJM Medical Services PCGroup PAC ID 6800950312, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• JJM Medical Services, PC

  • Anesthesiology Physician
  • Waltham, MA
  • NPI 1952548265

  NY

  Medicare reassignment Care Compare group NPD
• Anesthesia Group of Albany, PC

  • Anesthesiology Physician
  • Albany, NY
  • NPI 1598700379
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1952300618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HACKETT BLVD",
            "address_2": "ANESTHESIA GROUP OF ALBANY, PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091543",
            "telephone_number": "518-463-0050",
            "fax_number": "518-436-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOHNSON ROAD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103003",
            "telephone_number": "413-737-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Hackett Blvd",
            "address_2": "Anesthesia Group of Albany, PC",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122091543",
            "country_code": "US",
            "telephone_number": "518-463-0050",
            "fax_number": "518-436-0699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "AUDREY",
        "middle_name": "M.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "319782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Lynn Kerner, FNP
• Abdul S. Khan, MD
• Dastagir Alam Khan, MD
• Saad Khan, D.O
• Tania A. Khan, PHD
• Michelle Lee Kiernozek, OTR/L
• Jennifer Lynn Kilinski, MT-BC, NICU-MT, LCAT
• Kyle Erick Kilts, LCSW-R
• Myung Hyo Kim, MD
• Kimberly a. Hostig Licensed Clinical Social Worker PLLC

• Certified Registered Nurse Anesthetist in Latham, NY
• Providers in Latham, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.