Active NPI
Nathan Terry Donaldson, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3011952
- Practice address
- 530 S Jackson St
Louisville, KY 40202-1675 - Phone
- (502) 852-1735
- Fax
- (502) 852-6056
- NPI assigned
- Dec 13, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0000182538 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 3011952 | KY | Primary |
Addresses
Primary practice location
530 S Jackson St
Louisville, KY 40202-1675
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328
Other practice location 1
4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100513770 | Medicaid | KY | |
| 300009738 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000182538 | TN | MD | Registered Nurse |
| 3011952 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
7752 Solution Ctr
Chicago, IL 60677
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850
4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043561541
IN, Nurse Anesthetist, Certified Registered
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Louisville
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1982119913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-588-0328",
"fax_number": "502-587-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S JACKSON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021675",
"telephone_number": "502-852-1735",
"fax_number": "502-852-6056"
}
],
"practiceLocations": [
{
"address_1": "4960 Norton Healthcare Blvd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402412831",
"country_code": "US",
"telephone_number": "502-446-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONALDSON",
"first_name": "NATHAN",
"middle_name": "TERRY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-13",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "0000182538",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3011952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100513770",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300009738",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.