JOHN KENNETH KANE, CRNA - NPI NUMBER 1306954813

Summary

Provider Name: JOHN KENNETH KANE, CRNA

NPI Number: 1306954813

Clasification: Registered Nurse (163W00000X)

Address:
29724 PLATANUS DR
ESCONDIDO, CA
ZIP 92026

Phone Number: (760) 297-1284



Detailed Information

John Kenneth Kane, CRNA is a registered nurse in Escondido, CA. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.�s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. The assigned NPI number for this provider is 1306954813 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

29724 PLATANUS DR
ESCONDIDO, CA
ZIP 92026-936
Phone: (760) 297-1284
Fax: (760) 297-1279

The enumeration date for this NPI number is 8/25/2006 and was last updated on 7/9/2007.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 163W00000X Registered Nurse RN295578 CA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 034760 OTHER NATIONAL ANESTHESIA LICEN
2 WNA34760A MEDICARE UPIN CA
3 RN2955780 OTHER CA RN & NURSE ANESTHETIST

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1306954813 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name KANE The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name JOHN The first name of the provider, if the provider is an individual.
5 Provider Middle Name KENNETH The middle name of the provider, if the provider is an individual.
6 Provider Credential Text CRNA The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
7 Provider First Line Business Practice Location Address 29724 PLATANUS DR The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name ESCONDIDO The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name CA The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 920265936 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 7602971284 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 7602971279 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 8/25/2006 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 7/9/2007 The date that a record was last updated or changed.
16 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
17 Healthcare Provider Taxonomy Code 1 163W00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Provider License Number 1 RN295578 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
19 Provider License Number State Code 1 CA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 034760 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
22 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier Issuer 1 NATIONAL ANESTHESIA LICEN
24 Other Provider Identifier 2 WNA34760A Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier Type Code 2 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier State 2 CA
27 Other Provider Identifier 3 RN2955780 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier Type Code 3 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier State 3 CA
30 Other Provider Identifier Issuer 3 RN & NURSE ANESTHETIST
31 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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