Heather W Pennell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3979A Issued in KY

Practice address

1 Audubon Plaza Dr
Louisville, KY 40217-1318

Phone

(502) 636-7160

NPI assigned

Oct 6, 2006

Last updated

Feb 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heather M Wooden Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lec Ancillary PLLCGroup PAC ID 0345364725, 4 clinicians

Providian Anesthesia LLCGroup PAC ID 2264765791, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lec Ancillary PLLC

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
  • NPI 1982917365

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Providian Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
  • NPI 1821654666

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Louisville Endoscopy Center, PLLC

  dba Louisville Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1003888595
  NPD (past)
• Louisville Eye Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
  • NPI 1932642469

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Norton Anesthesia Services

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1376520528

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1962599563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LODGE HILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235509",
            "telephone_number": "502-648-2230",
            "fax_number": "502-244-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUDUBON PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171318",
            "telephone_number": "502-636-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNELL",
        "first_name": "HEATHER",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3979A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "WOODEN",
            "middle_name": "M",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krysta Penn
• Lee Thomas Penn
• Roberto A Penne-Casanova, MD
• Koryn Pennebaker
• Aaron M Pennell, M.D.
• Amanda Pennington
• Andrew Pennington, LCSW
• Gary E Pennington, D.MIN, LMFT
• Kimberly Blaine Pennington, CRNA
• Kymberly Jean Pennington

• Certified Registered Nurse Anesthetist in Louisville, KY
• Providers in Louisville, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.