Kallie C Beretta, CRNA
Nurse Anesthetist, Certified Registered in Phenix City, Alabama
1306465935- Practice location
- 4401 Riverchase Dr, Phenix City, AL 36867-7483
- Phone
- 334-732-3000
- Fax
- —
- Last updated
- June 17, 2025
Kallie Chapman Beretta is a Nurse Anesthetist, Certified Registered based in Phenix City, AL. Kallie Chapman Beretta practices in Phenix City, AL and has the professional credentials of CRNA. The NPI Number for Kallie Chapman Beretta is 1306465935 and holds a License No. 8423336 (NV). The current practice location address for Kallie Chapman Beretta is 4401 Riverchase Dr, Phenix City, AL 36867-7483 and can be reached out via phone at 334-732-3000.
Provider Profile Details
- NPI Number
- 1306465935
- Provider Name
- Kallie Chapman Beretta
- Credential
- CRNA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4401 Riverchase Dr, Phenix City, AL 36867-7483
- Phone Number
- 334-732-3000
- Primary Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 14, 2020
- Last Update Date
- June 17, 2025
- Certification Date
- June 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4401 Riverchase Dr
Phenix City, AL 36867-7483 - City
- Phenix City
- State
- Alabama
- Zip
- 36867-7483
- Phone Number
- 334-732-3000
Provider Business Mailing Address Details
- Address
- 224 Jasmine Hill RD
Indian Springs, AL 35124-3328 - City
- Indian Springs
- State
- AL
- Zip
- 35124-3328
- Phone Number
- 334-202-5596
License Information
- License Number (1)
- 8423336
- License State (1)
- NV
- Taxonomy (1)
- Nurse Anesthetist, Certified Registered · 367500000X
- License Number (2)
- 26463
- License State (2)
- SC
- Taxonomy (2)
- Nurse Anesthetist, Certified Registered · 367500000X
- License Number (3)
- RN2339414
- License State (3)
- MA
- Taxonomy (3)
- Nurse Anesthetist, Certified Registered · 367500000X
- License Number (4)
- APRN-195940
- License State (4)
- MT
- Taxonomy (4)
- Nurse Anesthetist, Certified Registered · 367500000X
- License Number (5)
- 1-149837
- License State (5)
- AL
- Taxonomy (5)
- Nurse Anesthetist, Certified Registered · 367500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Anesthetist, Certified Registered providers near Phenix City, AL
View all Nurse Anesthetist, Certified Registered providers in Phenix City →Frequently Asked Questions
What is the NPI number of Kallie C Beretta, CRNA?
The NPI number of Kallie C Beretta, CRNA is 1306465935. It was assigned on April 14, 2020 and is currently active in the NPPES registry.
What is the specialty of Kallie C Beretta, CRNA?
Kallie C Beretta, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NV under license number 8423336.
Where does Kallie C Beretta, CRNA practice?
The practice location is 4401 Riverchase Dr, Phenix City, AL 36867-7483. The office can be reached at 334-732-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306465935 directly on the NPPES registry website.