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KENNY JOSEPH HEFFERNAN CRNA NPI 1033255500


NPI Information

NPI: 1033255500
Provider Name: KENNY JOSEPH HEFFERNAN, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
2411 FOUNTAIN VIEW DR
SUITE 200
HOUSTON, TX
ZIP 77057
Phone: (713) 458-4185
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Kenny Joseph Heffernan, CRNA is a nurse anesthetist certified registered in Houston, TX with 24 years of experience. The provider is (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. Kenny Joseph Heffernan, CRNA NPI is 1033255500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year:2000

The provider's business location address is:

2411 FOUNTAIN VIEW DR
SUITE 200
HOUSTON, TX
ZIP 77057-817
Phone: (713) 458-4185

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered724948TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00643957OTHERTEXASMEDICARE RAILROAD
2185864901MEDICAIDTEXAS
38J5934MEDICARE PINTEXAS
487035UOTHERTEXASBLUE CROSS
5P00396676OTHERTEXASRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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