BETHANY A KELLEY (NPI# 1417306838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417306838 |
| Entity Type | Individual |
| Full Name | BETHANY A KELLEY |
| Other Name | BETHANY A KING |
| Credential | CRNA |
| Practice Address |
4401 Wornall Rd Kansas City MO 64111 |
| Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
| Practice Telephone | 8169323679 |
| Practice Fax Number | 8169329089 |
| Mailing Telephone | 6184575200 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | 209021707 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2010026479 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 7009-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 S Hospital Dr, Murphysboro, IL 629663333 | 6186843156 | 6185290529 |
| 201 S 14th St, Herrin, IL 629483631 | 6189422171 | 6183514919 |
| 405 W Jackson St, Carbondale, IL 629011462 | 6185490721 | 6185290449 |
| 4401 Wornall Rd, Kansas City, MO 64111 | 8169323679 | 8169329089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699308536 | Bethany Kelley | Nurse Practitioner | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2020-02-19 |
| 1043856156 | Bethany Kelley | Physician Assistant | 800 Irving Ave, Syracuse, NY 13210-2716 | 2019-11-24 |
| 1093270241 | Bethany Jordan Kelley | Nurse Practitioner | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2019-02-01 |
| 1114445277 | Bethany Crystal Kelley | Physician Assistant | 110 N 13th St, Franklin, PA 16323-2312 | 2017-09-08 |
| 1821439902 | Bethany Kelley | Social Worker | 940 Marion Williamsport Rd E, Marion, OH 43302-8684 | 2013-07-17 |
| 1538413422 | Bethany Griffith Kelley | Speech-Language Pathologist | 524 W Indiana Ave, Spokane, WA 99205-4721 | 2012-10-31 |
| Street Address |
4401 WORNALL RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003818345 | Lisa Marie Hermes | Physical Medicine & Rehabilitation | 4401 Wornall Rd, Rehab Physicians Medical Group, Main 4, Kansas City, MO 64111-3220 | 2005-06-01 |
| 1821697160 | Johnny Todd Linard | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3241 | 2020-10-19 |
| 1942813662 | Stephen Senne | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-08-24 |
| 1316556137 | Danielle Mcadams | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-07-28 |
| 1801414719 | Michelle Lee Foltz | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-07-07 |
| 1720602089 | Brittany Mcquain | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-06-02 |
| 1366065211 | Sonny Thanh Phan | Nurse Anesthetist, Certified Registered | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-05-27 |
| 1215550454 | Robert Charles Mix | Nurse Anesthetist, Certified Registered | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-05-22 |
| 1528689981 | Amanda Hill | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-04-27 |
| 1538789193 | Amber Bergmann | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| 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 |
|---|---|---|---|---|
| 1104200930 | Vanessa Rae Jackson | Nurse Anesthetist, Certified Registered | 721 Ne 82nd Ter, Kansas City, MO 64118-1332 | 2015-07-10 |
| 1770845331 | Valerie Kay Weaver | Nurse Anesthetist, Certified Registered | 1440 Ku Hospital, 3901 Rainbow Blvd Ms 1034, Kansas City, KS 66160-0001 | 2012-06-11 |
| 1659645281 | Diane Marie Prewitt | Nurse Anesthetist, Certified Registered | 3901 Rainbow Blvd, Mail Stop 1034, Kansas City, KS 66160 | 2012-02-29 |
| 1225357742 | Elizabeth Ann Lewis | Nurse Anesthetist, Certified Registered | 1440 The University of Kansas Hospital, 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2010-05-24 |
| 1306949599 | Irena Dobrowolski | Nurse Anesthetist, Certified Registered | 1800 E Meyer Blvd, Kansas City, MO 64132 | 2006-09-06 |
| 1275552614 | Elise Lockwood | Nurse Anesthetist, Certified Registered | Anes Dept, 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2006-07-18 |
| 1184664708 | Nadine Davis | Nurse Anesthetist, Certified Registered | 3420 Campbell St, Kansas City, MO 64109-2354 | 2006-06-08 |
| 1649217365 | Catherine A Williams | Nurse Anesthetist, Certified Registered | 8929 Parallel Parkway, Providence Hospital, Kansas City, KS 66112-1787 | 2006-06-01 |
| 1952361826 | Rachael A Shepard | Nurse Anesthetist, Certified Registered | 10021 N Maywood Ave, Kansas City, MO 64157-9670 | 2006-03-24 |
| 1780660605 | Lin X. Wang | Nurse Anesthetist, Certified Registered | 4401 Wornall Road, Kansas City, MO 64111 | 2005-12-22 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.