KIMBERLY RAE LATHAM – Certified Registered Nurse Anesthetist, NPI 1730240276

KIMBERLY RAE LATHAM is a healthcare provider. based in Montgomery, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1-081990 (AL). The NPI Number for KIMBERLY RAE LATHAM is 1730240276

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY RAE LATHAM
NPI
1730240276
Phone
(334) 277-8330
Address
PREMIER ANESTHESIA-BAPTIST HOSPITAL EAST
Enumeration Date
12 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5597841110
Graduation Year
2006 (20 years ago)
PAC ID
5092814590
Group Practice PAC ID
3870964323
Professional Enrollment ID
I20151106002371
Address ID
CA932573320PO465XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,625 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

Provider Addresses for KIMBERLY RAE LATHAM

  • PREMIER ANESTHESIA-BAPTIST HOSPITAL EAST

    400 TAYLOR ROAD

    MONTGOMERY, AL 36617

    Phone: (334) 277-8330

    Type: Location

  • 281 BAGLEY DR

    TRUSSVILLE, AL 351734231

    Phone: (205) 567-8381

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-05-19 • Largest payer in this snapshot: Medtronic, Inc. ($35).

Total Amount

$48

General + Research + Ownership

Payments

3

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151106002371ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01992Anesthesia for nerve block and injection procedure, prone position125108$0
64450Injection of anesthetic agent and/or steroid into other nerve or branch5828$0
01930Anesthesia for other x-ray on vein or lymph system4324$0
01941Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of neck or upper back accessed through skin using imaging guidance2422$0
00532Anesthesia for access to central vein2120$0
View full utilization report →

Insurance plans in this area (ZIP 36617)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870964323View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
Anesthesiology, Pain ManagementCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)TN
Anesthesiology, Critical Care (Intensivists)CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YKS
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Does KIMBERLY RAE LATHAM have a public NPI I can cite?
Public records show KIMBERLY RAE LATHAM under NPI 1730240276.
Is KIMBERLY RAE LATHAM's NPI status active today?
Active status means KIMBERLY RAE LATHAM's NPI record is not deactivated in the public file.
What services align with KIMBERLY RAE LATHAM's listing?
KIMBERLY RAE LATHAM's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KIMBERLY RAE LATHAM?
KIMBERLY RAE LATHAM is associated with Montgomery, Alabama in the same public data insurers reference.
Can I export KIMBERLY RAE LATHAM's record?
You can download the official NPPES record; we summarize key fields for readability.

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