Active NPI
Kenneth L Harding Jr., C.R.N.A.
- Certified Registered Nurse Anesthetist
- Madison, IN
National Provider Identifier
1992730766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28080093
- Practice address
- 1373 E State Road 62
Madison, IN 47250-7328 - Phone
- (812) 801-0156
- Fax
- (812) 801-0276
- NPI assigned
- Jul 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28080093 | IN | Primary |
Addresses
Primary practice location
1373 E State Road 62
Madison, IN 47250-7328
Mailing address
PO Box 189
Madison, IN 47250-0189
Phone (812) 801-0156
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430039086 | Other | MEDICARE RAILROAD | |
| 50003404 | Other | KY | PASSPORT KY MEDICAID |
| 000000042218 | Other | IN | ANTHEM BCBS |
| 200115220A | Medicaid | IN | |
| 74290651 | Medicaid | KY | |
| 41CR04P | Other | IN | SIHO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1992730766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "MADISON",
"state": "IN",
"postal_code": "472500189",
"telephone_number": "812-801-0156",
"fax_number": "812-801-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1373 E STATE ROAD 62",
"city": "MADISON",
"state": "IN",
"postal_code": "472507328",
"telephone_number": "812-801-0156",
"fax_number": "812-801-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDING",
"first_name": "KENNETH",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28080093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "430039086",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT KY MEDICAID",
"identifier": "50003404",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000042218",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200115220A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74290651",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "41CR04P",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.