Kelly Knollmann, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C01545 Issued in AR

Practice address

2710 Rife Medical LN
Rogers, AR 72758-1452

Phone

(479) 338-8000

Fax

(913) 381-0979

NPI assigned

Jul 5, 2006

Last updated

Jun 9, 2017By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, OR2 enrollments

Enrollment records 2

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

• Western Arkansas Anesthesiology Associates P.a.

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1548202294
  Medicare reassignment NPD
• Western Arkansas Obstetric Anesthesia LLC

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1952671703
  Medicare reassignment NPD
• Anesthesia Associates Northwest LLC

  • Anesthesiology Physician
  • Milwaukie, OR
  • NPI 1548281751
  NPD
• Anesthesia Services of Benton County PA

  • Anesthesiology Physician
  • Rogers, AR
  • NPI 1013084482
  NPD (past)
• Bentonville Anesthesia PLLC

  • Anesthesiology Physician
  • Bentonville, AR
  • NPI 1447281670

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Clinical Partners PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1215995816

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1982635116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291264",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372291264",
            "telephone_number": "913-642-4900",
            "fax_number": "913-381-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 RIFE MEDICAL LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-8000",
            "fax_number": "913-381-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLLMANN",
        "first_name": "KELLY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01545",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "C01545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARKANSAS",
            "identifier": "5Y795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KMJ Billings, LLC
• KMJ Enterprises Gravette LLC (Ashley Health and Rehabilation Center)
• KMJ Enterprises Heritage Park LLC (Heritage Park Nursing Center)
• Jessica Carol Knight, APRN
• Robert Graham Knight
• Robert Hogan Knox, M.D.
• Miriam Koesy, PMHNP
• Tomomi Kohno
• Brandy Kollman
• Stephanie Leighann Koonce, M.D.

• Certified Registered Nurse Anesthetist in Rogers, AR
• Providers in Rogers, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.