KIMBERLY LEACH GRANTHAM


Address: 1171 Pelican Creek Dr, Shreveport, LA 71106-8539
Phone: 3187800716

KIMBERLY LEACH GRANTHAM (NPI# 1669611463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669611463
Entity Type Individual
Full Name KIMBERLY LEACH GRANTHAM
Credential CRNA
Practice Address 1171 Pelican Creek Dr
Shreveport
LA 71106-8539
Practice Telephone 3187800716
Mailing Telephone 3187800716
Enumeration Date 2009-02-18
Last Update Date 2012-06-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered RN097823-AP05716 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1171 PELICAN CREEK DR
City SHREVEPORT
State LA
Zip Code 71106-8539

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1841730728 Cedric Thomas Case Manager/Care Coordinator 6811 Fairfield Avenue, Shreveport, LA 71106 2017-02-27
1225576192 Nick Vergis Pharmacist 5828 Line Avenue, Shreveport, LA 71106 2017-02-10
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043728967 Sarah Elizabeth Fitzhugh Nurse Anesthetist, Certified Registered 1500 Line Ave Ste 206, Shreveport, LA 71101-4649 2018-01-12
1013386507 Kurvis Antione Davis Nurse Anesthetist, Certified Registered 367 Carrollton Ave, Shreveport, LA 71105-3205 2015-09-15
1134519044 Comfort Anesthesia LLC Nurse Anesthetist, Certified Registered 9423 Acadiana Place Blvd, Shreveport, LA 71115-3704 2015-01-29
1598066599 Kristi Rae Hylan Nurse Anesthetist, Certified Registered 848 Gladstone Blvd, Shreveport, LA 71104-4202 2010-11-06
1366773400 Michael Jeff Lewis Nurse Anesthetist, Certified Registered 905 Crescent Rd, Shreveport, LA 71107-3908 2010-01-28
1477734820 Red River Anesthesia Services, A.p.m.c. Nurse Anesthetist, Certified Registered 3217 Mabel Street, Shreveport, LA 71103-4022 2007-11-14
1164638474 Gary Cornell Wilkins Nurse Anesthetist, Certified Registered 5850 Yarbrough, Shreveport, LA 71119 2007-05-15
1588750319 Curtis James Ardoin Nurse Anesthetist, Certified Registered 1 St Mary Place, Pfs- Professional Billing, Shreveport, LA 71101 2006-10-05
1609960111 Andrea Cariere Leazer Nurse Anesthetist, Certified Registered 1 Saint Mary Place, Pfs-prof Billing, Shreveport, LA 71101 2006-10-02
1730280264 Ellis Reed Maxwell Nurse Anesthetist, Certified Registered 501 East Stoner Ave, Shreveport, LA 71101 2006-09-26
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Competitor

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City SHREVEPORT
Zip Code 71106

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Dataset Information

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.

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