KIMBERLY L ANDERSON (NPI# 1053549873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053549873 |
| Entity Type | Individual |
| Full Name | KIMBERLY L ANDERSON |
| Other Name | KIMBERLY L BLAESING |
| Credential | CRNA |
| Practice Address |
8600 N State Route 91 Suite 250 Peoria IL 61615-9541 |
| Practice Telephone | 3096925394 |
| Practice Fax Number | 3096922538 |
| Mailing Telephone | 3096925394 |
| Mailing Fax Number | 3096922538 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 041336972 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659594 | Kimberly G Anderson | Nurse Practitioner | 4089 42nd Sq, Vero Beach, FL 32967-1963 | 2020-02-03 |
| 1730724410 | Kimberly Susan Anderson | Specialist/Technologist | 708 W 4th St, Lewes, DE 19958-1284 | 2019-11-17 |
| 1740727312 | Kimberly Anderson | Licensed Practical Nurse | 102 Giminski Dr, Apartment 1, Syracuse, NY 13204-1304 | 2017-01-20 |
| 1467843292 | Kimberly Anderson | Registered Nurse | 8247 S 535 E, Sandy, UT 84070-0476 | 2015-02-16 |
| 1609279926 | Kimberly Anderson | Psychologist | 42 E Via Plaza Nueva, Santa Fe, NM 87507-8491 | 2014-10-01 |
| 1881003994 | Kimberly Dawn Anderson | Specialist/Technologist | 4280 S 246th Ave, Buckeye, AZ 85326-3351 | 2014-08-04 |
| 1295175537 | Kimberly Michelle Anderson | Case Manager/Care Coordinator | 1509 N Midwest Blvd Apt 8, Midwest City, OK 73110-3243 | 2013-07-01 |
| 1891062477 | Kimberly Michelle Anderson | Licensed Practical Nurse | 983 Ridgeway Ct Apt A, Lebanon, OH 45036-2562 | 2011-11-25 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1487955068 | Kimberly Dawn Anderson | Pharmacy Technician | 13831 Chalco Valley Pkwy Ste 101, Omaha, NE 68138-6145 | 2010-11-12 |
| Street Address |
8600 N STATE ROUTE 91 SUITE 250 |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-9541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501359 | Jeremy L Krock | Anesthesiology | 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 | 2005-10-11 |
| 1861948044 | Monica L Dunn | Nurse Practitioner | 8600 N State Route 91, Peoria, IL 61615-9541 | 2016-08-29 |
| 1013369149 | Brittany N Hemmele | Nurse Practitioner | 8600 N State Route 91, Peoria, IL 61615-9541 | 2016-07-13 |
| 1497107296 | Kathryn A Swain-abraham | Nurse Practitioner | 8600 N State Route 91, Peoria, IL 61615-9541 | 2016-07-06 |
| 1538537444 | Kristin M Burns | Advanced Practice Midwife | 8600 N State Route 91, Suite 330, Peoria, IL 61615-9541 | 2015-09-09 |
| 1669840575 | Teverbaugh Croland and Mueller Ob/gyn and Associates, S.c. | Advanced Practice Midwife | 8600 N State Route 91, Suite 330, Peoria, IL 61615-9541 | 2015-09-09 |
| 1518356419 | Cody Dykes | Nurse Anesthetist, Certified Registered | 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 | 2015-01-15 |
| 1093119661 | Megan M Cunningham | Physician Assistant | 8600 N State Route 91, Peoria, IL 61615-9541 | 2014-10-10 |
| 1285037929 | Lauren M Petoskey | Physician Assistant | 8600 N State Route 91, Peoria, IL 61615-9541 | 2014-10-08 |
| 1396144846 | Jessica B Young | Physician Assistant | 8600 N State Route 91, Peoria, IL 61615-9541 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013474071 | Vitalz Anesthesia Unlimited LLC | Nurse Anesthetist, Certified Registered | 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 | 2019-02-26 |
| 1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
| 1033365291 | Mathew J Maupin | Nurse Anesthetist, Certified Registered | 5401 N. Knoxville Suite 416, Peoria, IL 61528 | 2008-08-07 |
| 1285802678 | Jenny Kunvarji Shah | Nurse Anesthetist, Certified Registered | 802 W Trailcreek Dr, Cosmetic Surgery Care, Peoria, IL 61614-1862 | 2008-02-19 |
| 1003919382 | Melissa Terhark | Nurse Anesthetist, Certified Registered | 8600 North State Route 91, Suite #250, Peoria, IL 61615 | 2006-09-05 |
| 1760419600 | Kristen L Manning | Nurse Anesthetist, Certified Registered | 8600 N State Route 91 Suite 250, Peoria, IL 61615-9506 | 2006-06-27 |
| 1518903798 | Marcus D Weeks | Nurse Anesthetist, Certified Registered | 8600 N State Route 91 Ste 250, Peoria, IL 61615-9506 | 2006-06-22 |
| 1942278130 | Larry J Kotewa | Nurse Anesthetist, Certified Registered | 124 W Whitehall Ct, Peoria, IL 61614-3032 | 2006-03-14 |
| 1588651566 | Timothy James Samolitis | Nurse Anesthetist, Certified Registered | 8600 N. State Route 91, Suite 250, Peoria, IL 61615 | 2005-10-04 |
| 1699761726 | Ann M Willemsen-dunlap | Nurse Anesthetist, Certified Registered | 8600 State Route 91 Ste 250, Peoria, IL 61615-7831 | 2005-09-23 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.