Active NPI
Kelli Lynn Alexander, CRNA
- Certified Registered Nurse Anesthetist
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024169191
- Practice address
- 1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453 - Phone
- (540) 741-7614
- Fax
- (540) 741-7615
- NPI assigned
- Mar 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024169191 | VA | Primary |
Addresses
Primary practice location
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Mailing address
3100 Spring Forest Road Suite 130
Raleigh, NC 27616-2880
Phone (919) 882-0705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992003263 | Medicaid | VA |
Other names 1
- Miss Kelli Lynn Van Cleave
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 Camden St
Suite 102
San Antonio, TX 78215-1644
Phone (210) 253-3430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4235 | CA | MD | Pediatric Occupational Therapist |
| 0024169191 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Schertz Anesthesia LLC | Current | Accepting new patients | |
| Carteret County General Hospital Corporation | Current | Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Xenon Heath PC | Past | Accepting new patients | |
| Eye 35 ASC. LLC | Past | Accepting new patients | |
| American Anesthesiology Associates of Virginia, Inc | Past | Accepting new patients |
Locations
3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
2833 Babcock Rd
Ste 120
San Antonio, TX 78229
Phone (210) 575-5150
621 Camden St
Ste 102
San Antonio, TX 78215
Phone (210) 253-3430
520 E Euclid Ave
San Antonio, TX 78212
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Schertz, TX
- NPI 1205491305
-
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
-
- Certified Registered Nurse Anesthetist
- Flower Mound, TX
- NPI 1114270931
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1528059896
-
- Ambulatory Surgical Clinic/Center
- Schertz, TX
- NPI 1285171538
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1346506672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503446400000",
"number": "1992003263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST ROAD SUITE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "919-882-0705",
"fax_number": "919-873-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SAM PERRY BLVD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014453",
"telephone_number": "540-741-7614",
"fax_number": "540-741-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "KELLI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-10",
"last_updated": "2017-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024169191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992003263",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLI",
"last_name": "VAN CLEAVE",
"middle_name": "LYNN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.