KATHLEEN MARIE KELLY (NPI# 1356392153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356392153 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARIE KELLY |
| Credential | CRNA, RN |
| Practice Address |
400 Greenhorn Dr Canon City CO 81212-9682 |
| Practice Telephone | 7195105339 |
| Mailing Telephone | 7195105339 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00125197 | WA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 096007749RN | OR | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 216502 | CA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 8810 | AK | Nursing Service Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | AP30006979 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 587367 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 200660008CRNA | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | R28085 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 1483 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | CRNA0350 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 139 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 66699 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 GREENHORN DR |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-9682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| 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 |
|---|---|---|---|---|
| 1891721122 | Larry Steven Mcmillen | Nurse Anesthetist, Certified Registered | 933 Sells Ave, Canon City, CO 81212-4900 | 2006-06-26 |
| 1174979678 | Rocky Mountain Anesthesia of Colorado LLC | Nurse Anesthetist, Certified Registered | 933 Sell Avenue, Suite B, Canon City, CO 81212-4955 | 2016-05-13 |
| 1902287782 | Southern Colorado Sedation Specialists LLC | Nurse Anesthetist, Certified Registered | 1338 Phay Ave, Canon City, CO 81212-2302 | 2015-06-17 |
| 1013324268 | Metamorphosis Ltd | Nurse Anesthetist, Certified Registered | 113 Latigo Lane, Suite D, Canon City, CO 81212-8115 | 2014-07-21 |
| 1164782769 | Richard E Fenn | Nurse Anesthetist, Certified Registered | 1338 Phay Ave, Canon City, CO 81212-2302 | 2012-05-17 |
| 1942571179 | Kelly Gilkerson | Nurse Anesthetist, Certified Registered | 1338 Phay Ave, Canon City, CO 81212-2302 | 2012-01-19 |
| 1598032013 | Darran Dee Sawyer | Nurse Anesthetist, Certified Registered | 1338 Phay Ave, Canon City, CO 81212-2302 | 2011-11-29 |
| 1477857274 | Theresa Diane Keefer | Nurse Anesthetist, Certified Registered | 1338 Phay Ave, Canon City, CO 81212-2311 | 2011-01-07 |
| 1588851497 | Teri Y Alberty | Nurse Anesthetist, Certified Registered | 1338 Phay Ave, Canon City, CO 81212-2302 | 2007-09-25 |
| 1023226677 | Paul Michael Villa | Nurse Anesthetist, Certified Registered | 1338 Phay Ave, Canon City, CO 81212-2302 | 2007-05-18 |
| Find all providers in CANON CITY | ||||
| City | CANON CITY |
| Zip Code | 81212 |
Please comment or provide details below to improve the information on KATHLEEN MARIE KELLY.
| 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.