Active NPI
Karla F Elder-Sorrells, CRNA
- Certified Registered Nurse Anesthetist
- Paducah, KY
National Provider Identifier
1952492019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3003426
- Practice address
- Western Baptist Hospital
2501 Kentucky Avenue
Paducah, KY 42003 - Phone
- (270) 575-2100
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3003426 | KY | Primary |
| Anesthesiology Physician | 207L00000X | 1095687 | KY |
Addresses
Primary practice location
Western Baptist Hospital
2501 Kentucky Avenue
Paducah, KY 42003
Mailing address
2507 Broadway
Paducah, KY 42001
Phone (270) 442-8228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74005612 | Medicaid | KY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1095687 | KY | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497571200000",
"number": "1952492019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 BROADWAY",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42001",
"telephone_number": "270-442-8228",
"fax_number": "270-442-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WESTERN BAPTIST HOSPITAL",
"address_2": "2501 KENTUCKY AVENUE",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42003",
"telephone_number": "270-575-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER-SORRELLS",
"first_name": "KARLA",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2017-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3003426",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "1095687",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74005612",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.