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

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 identifiers 1

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 PLLC 4 clinicians

Providian Anesthesia LLC 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• Lec Ancillary PLLC

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

  KY, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Providian Anesthesia LLC

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

  KY, Nurse Anesthetist, Certified Registered

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

  • 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74005968",
            "state": "KY"
        }
    ],
    "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

• All providers in Louisville, KY
• 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.