Individual provider Active NPI

Kelly Michelle McDaniel, CRNA

  • Certified Registered Nurse Anesthetist
  • Murray, KY
National Provider Identifier
1962718908
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3006605 Issued in KY
Practice address
632 N 12TH St # 230
Murray, KY 42071-1651
Phone
(270) 627-0150
NPI assigned
Aug 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3006605 KY Primary

Addresses

Primary practice location

632 N 12TH St # 230
Murray, KY 42071-1651

Mailing address

632 N 12TH St # 230
Murray, KY 42071-1651
Phone (270) 627-0150

Other names 1

  • Kelly Greer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101223000152 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294923850 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3006605KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Trigg County Hospital, Inc CurrentSince Feb 18, 2017 Accepting new patients
Trigg County Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2017 Accepting new patients
Central Kentucky Anesthesia PSC Current Accepting new patients
Anesthesia Associates, PSC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2020 Accepting new patients
Central Kentucky Anesthesia P.S.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Murray Anesthesia Group, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Millennium Medical Imaging PC Past Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

1720 Nicholasville Rd
Lexington, KY 40503
Phone (859) 277-2211

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1962718908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 N 12TH ST # 230",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711651",
            "telephone_number": "270-627-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 N 12TH ST # 230",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711651",
            "telephone_number": "270-627-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3006605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GREER",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.