KIMBERLY L. REDMAN (NPI# 1366510448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366510448 |
| Entity Type | Individual |
| Full Name | KIMBERLY L. REDMAN |
| Credential | CRNA |
| Practice Address |
1605 Martin Springs Dr Rolla MO 65401-2931 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4175336010 |
| Practice Fax Number | 4175336173 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2001004539 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2010034566 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 970019029 | 01 | |
| TRICARE | 431560263 | 01 | |
| MO | 1366510448 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041303 | Kimberly Redman | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-09-07 |
| Street Address |
1605 MARTIN SPRINGS DR |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024468 | William S Anast | Anesthesiology | 1605 Martin Springs Dr, Rolla, MO 65401-2982 | 2005-06-22 |
| 1477092906 | Amanda Creamer | Nurse Practitioner | 1605 Martin Springs Dr, Ste 210, Rolla, MO 65401-2982 | 2017-02-16 |
| 1851839716 | Richard Siska Sr. | Radiologic Technologist | 1605 Martin Springs Dr, Ste 110, Rolla, MO 65401-2982 | 2017-02-10 |
| 1922457712 | Madhura G Joag | Internal Medicine | 1605 Martin Springs Dr, Rolla, MO 65401-2982 | 2016-06-13 |
| 1497115497 | Di'ara Woods | Physician Assistant | 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401-2982 | 2016-03-03 |
| 1104260090 | Omofolarin Babatunji Fasuyi | Family Medicine | 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401-2982 | 2013-04-22 |
| 1790037950 | Lisa A Cunningham | Nurse Practitioner | 1605 Martin Springs Dr, Ste 250, Rolla, MO 65401-2931 | 2012-10-11 |
| 1043562358 | Mercy Hospital Lebanon | Clinic/Center | 1605 Martin Springs Dr, Rolla, MO 65401-2931 | 2012-10-10 |
| 1801148499 | Mercy Hospital Lebanon | Radiology | 1605 Martin Springs Dr, Rolla, MO 65401-2982 | 2012-10-08 |
| 1265787741 | Cheri Berti | Pharmacist | 1605 Martin Springs Dr, Suite 220, Rolla, MO 65401-2931 | 2012-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| 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 |
|---|---|---|---|---|
| 1003062100 | Physician Surgery Center | Nurse Anesthetist, Certified Registered | 1500 Hwy 72 East, Rolla, MO 65401-0000 | 2008-08-08 |
| 1689601742 | Robert A Morgan | Nurse Anesthetist, Certified Registered | 206 Brady Dr, Rolla, MO 65401-8430 | 2006-06-26 |
| 1396787545 | Jeffrey D Heese | Nurse Anesthetist, Certified Registered | 499 Countryside Dr, Rolla, MO 65401-4722 | 2006-06-12 |
| 1194383711 | Collin Dobson | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-05-29 |
| 1104483718 | Blaine Goodman | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-05-20 |
| 1780247320 | Ryan James Ballard | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-04-18 |
| 1609223742 | Becky Heidotten | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2016-05-18 |
| 1891142386 | Angela Delaria | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2016-05-16 |
| 1558761619 | Michael Jones | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2014-08-26 |
| 1285993782 | John Thomas Fitzgerald | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2012-05-04 |
| Find all providers in ROLLA | ||||
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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.