Kim D. Hackl, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN20815 Issued in MT

Practice address

2475 E Broadway St
Helena, MT 59601-4928

Phone

(406) 442-2480

NPI assigned

Jul 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Doctor of Medicine

State licenses

Practice roles

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.

• Kim Hackl Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Bozeman, MT
  • NPI 1477625721

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Capital Medical Anesthesia PLLP

  • Certified Registered Nurse Anesthetist
  • Helena, MT
  • NPI 1033142245

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Gallatin Valley Anesthesia Associates PC

  • Anesthesiology Physician
  • Bozeman, MT
  • NPI 1336165182
  NPD (past)
• Intercity Radiology, PC

  • Specialist
  • Bozeman, MT
  • NPI 1356390736
  NPD (past)
• Montana Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Helena, MT
  • NPI 1811257918
  NPD (past)
• Peak Anesthesia Services Inc.

  • Certified Registered Nurse Anesthetist
  • Bozeman, MT
  • NPI 1407038490

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Wolverine Anesthesia Consultants, Inc.

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1558381392

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982620670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240102",
            "telephone_number": "503-372-2740",
            "fax_number": "503-372-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-442-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKL",
        "first_name": "KIM",
        "middle_name": "D.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "RN20815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438867",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Perry Gundersen, M.D.
• Ashli Gurnett, LCSW
• Erin Mari Guzynski, RPH
• Gwen Sensenig LCSW Therapist LLC
• Madysen Hachler, MSW
• Toni M Haden, M.S. CCC-SLP
• Lisa Ann Hagmeier, RPH
• Jennifer Halcro, FNP
• Kerry S Hale, M.D.
• Tyler Halford, PHD

• Certified Registered Nurse Anesthetist in Helena, MT
• Providers in Helena, MT by specialty
• Certified Registered Nurse Anesthetist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.