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KIMBERLY JORDAN BLACKWELL CRNA NPI 1790325074


NPI Information

NPI: 1790325074
Provider Name: KIMBERLY JORDAN BLACKWELL, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: DHP ANESTHESIA MEDICAL GROUP INC Address:
1150 N INDIAN CANYON DR
PALM SPRINGS, CA
ZIP 92262
Phone: (808) 854-7133
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Kimberly Jordan Blackwell, CRNA is a nurse anesthetist certified registered in Palm Springs, CA with 5 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 Jordan Blackwell, CRNA NPI is 1790325074. 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:

1150 N INDIAN CANYON DR
PALM SPRINGS, CA
ZIP 92262-872
Phone: (808) 854-7133

The enumeration date for this NPI number is 1/14/2020 and was last updated on 1/7/2021.


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 Registered95001342CALIFORNIAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 11/14/2023

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