TIMOTHY E KINKADE CRNA
NPI 1417902909
Nurse Anesthetist, Certified Registered in Pella, IA

Active since May 23, 2006
404 JEFFERSON ST, PELLA, IA 50219(641) 628-6634(913) 381-0979 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy E Kinkade Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY E KINKADE CRNA (NPI 1417902909) is an individual nurse anesthetist, certified registered in Pella, Iowa, licensed in Iowa (058017) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1417902909
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTIMOTHY E KINKADECredential: CRNA
Location Address404 JEFFERSON STPella, IA 50219-1257
Mailing Address8900 Indian Creek Pkwy, Suite 500Overland Park, KS 66210-1554 · (913) 642-4900 · Fax (913) 381-0979
Fax(913) 381-0979
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 2, 2012
NPI 1417902909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IA · 058017
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.

404 JEFFERSON ST, Pella, IA 50219

Other Identifiers 4

Medicare UPINR04386
Medicare PINP00429674IA
Medicaid3265819IA
Medicare PINI19306IA

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Body Imaging)
404 JEFFERSON ST
PELLA, IA 50219
Nurse Anesthetist, Certified Registered
404 JEFFERSON ST
PELLA, IA 50219
Nurse Anesthetist, Certified Registered
404 JEFFERSON ST
PELLA, IA 50219
Nurse Anesthetist, Certified Registered
404 JEFFERSON ST
PELLA, IA 50219
Occupational Therapist
404 JEFFERSON ST, REHAB DEPARTMENT
PELLA, IA 50219
Dietitian, Registered
404 JEFFERSON ST
PELLA, IA 50219
Radiology (Diagnostic Radiology)
404 JEFFERSON ST
PELLA, IA 50219
Social Worker (Clinical)
404 JEFFERSON ST
PELLA, IA 50219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417902909, enumerated as an "individual" on May 23, 2006.

The provider is located at 404 JEFFERSON ST PELLA, IA 50219 and the phone number is (641) 628-6634.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.