KIMBERLY RODERICK CRNA NPI 1629424411

NPI Information

  • NPI: 1629424411
  • Provider Name: KIMBERLY RODERICK, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 1324 S. SHORE DRIVE APT. G07
    ERIE, PA
    ZIP 16505
  • Phone: (307) 631-1517

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NPI Details

Kimberly Roderick, CRNA is a nurse anesthetist certified registered in Erie, PA with 10 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. Kimberly Roderick, CRNA NPI is 1629424411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1324 S. SHORE DRIVE APT. G07
ERIE, PA
ZIP 16505
Phone: (307) 631-1517

The enumeration date for this NPI number is 5/11/2016 and was last updated on 8/24/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN654367PENNSYLVANIANo
2367500000XNurse Anesthetist, Certified RegisteredARNP9436121FLORIDAYes

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: 11/21/2025

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