Individual Healthcare Provider
Andrew Alexander Kim, DNP, CRNA
Provider's NPPES record last updated: October 14, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003516659
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Practice Location
- St. Petersburg, Florida
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:35 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Anesthetist, Certified Registered
Physician Assistants & Advanced Practice Nursing Providers
(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.
Taxonomy code 367500000X Registered Nurse
Critical Care Medicine
Nursing Service Providers
Definition to come...
Taxonomy code 163WC0200XStudent in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Nurse Anesthetist, Certified Registered (Texas)
- 1214511
- Registered Nurse (Georgia)
- RN291818
- Nurse Anesthetist, Certified Registered (North Carolina)
- 7844
- Student in an Organized Health Care Education/Training Program (Georgia)
- RN291818
Practice Locations
Practice Location
7901 4th St N
Ste 300
St. Petersburg, Florida 33702
Phone: (478) 321-7969
Additional Practice Location
12222 Merit Dr Ste 600
Dallas, Texas 75251-3294
Phone: (972) 715-5000
Fax: (972) 715-9976
Record Information
- Enumeration Date
- March 2, 2023
- Provider's NPPES Record Last Updated
- October 14, 2025
- Certification Date
- October 14, 2025
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue