Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kathleen Lyn Peck, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1871155119

Mrs. Kathleen Lyn Peck, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Portsmouth, New Hampshire. Qualified in 2020, 6 years ago. Practices with Portsmouth Anesthesia Associates PA, a 40-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
6
Licensed in
NH
In the registry since
2019
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone: (603) 433-4045
Fax: (603) 559-4123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 059649-23 (NH)

Record details

NPI number1871155119
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 8, 2019
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Portsmouth Anesthesia Associates Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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