ELIZABETH B WILKES (NPI# 1053374272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053374272 |
| Entity Type | Individual |
| Full Name | ELIZABETH B WILKES |
| Credential | CRNA |
| Practice Address |
200 Hawthorne Ln Charlotte NC 28204-2515 |
| Mailing Address |
11731 Sir Francis Drake Dr Charlotte NC 28277-5805 |
| Practice Telephone | 7043844239 |
| Practice Fax Number | 7043845636 |
| Mailing Telephone | 7043219732 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 20257 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 071606 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 144591 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3632439 | 05 | |
| SC | NAN620 | 05 | |
| TN | BLUE CROSS | 4084219 | 01 |
| TN | BLUECARE | 4084219 | 01 |
| NC | 8052638 | 05 | |
| TN | PHP TENNCARE | 100045577 | 01 |
| TN | TRAVELERS MEDICARE | P00154891 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2720 Sunset Blvd, West Columbia, SC 291694810 | 8037912000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912565714 | Elizabeth Wilkes | Nurse Anesthetist, Certified Registered | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2019-06-05 |
| 1306351952 | Elizabeth Carroll Wilkes | Nurse Practitioner | 10001 S Eastern Ave Ste 310, Henderson, NV 89052-3908 | 2017-12-05 |
| Street Address |
200 HAWTHORNE LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913128 | Patrick Aloysius Wilson | Pathology | 200 Hawthorne Ln, Presbyterian Hospital Department of Pathology, Charlotte, NC 28204-2515 | 2005-06-23 |
| 1649879479 | Lovina; Takon | Registered Nurse | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-22 |
| 1982203253 | Jaime Michelle Stanton Morris | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-19 |
| 1447864640 | Steven Cimijotti | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-09-04 |
| 1962015420 | Randall Lee Coffman | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-25 |
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1477171494 | Larson Vickery | Physician Assistant | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-07-07 |
| 1497378327 | Courtney Lynn Harper | Pharmacist | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-27 |
| 1760005094 | Kwame Adusei-mensah | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-21 |
| 1598388829 | Mark William Benfield | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1588219307 | Yerilis Ortiz Vazquez | Nurse Anesthetist, Certified Registered | 1000 Central Ave Apt 137, Charlotte, NC 28204-2273 | 2019-08-08 |
| 1730648163 | Anette Lorella Hufham | Nurse Anesthetist, Certified Registered | 2805 Heathstead Pl, Charlotte, NC 28210-7160 | 2019-03-15 |
| 1528570553 | Justin Gray Clayton | Nurse Anesthetist, Certified Registered | 3308 Selwyn Farms Ln Apt 1, Charlotte, NC 28209-5005 | 2017-10-31 |
| 1710499843 | Lauren Bennett | Nurse Anesthetist, Certified Registered | 6307 Tunston Ln, Charlotte, NC 28269-6915 | 2017-10-30 |
| 1124478904 | Amira Zekan | Nurse Anesthetist, Certified Registered | 1449 S Church St, Apt 231, Charlotte, NC 28203-4802 | 2016-06-13 |
| 1649668807 | Tanya Nafatyuk | Nurse Anesthetist, Certified Registered | 4513 Springside Ln, Charlotte, NC 28226-3337 | 2014-12-22 |
| 1447679493 | Katherine Nicole Bumgarner | Nurse Anesthetist, Certified Registered | 4908 S Hill View Dr, Charlotte, NC 28210-2338 | 2014-04-07 |
| 1790110419 | Nikki Danae Snodgrass | Nurse Anesthetist, Certified Registered | 8201 Healthcare Loop, Charlotte, NC 28215-7072 | 2013-09-12 |
| 1568896421 | Lisa Kathleen Jones | Nurse Anesthetist, Certified Registered | 3405 Ritch Ave, Charlotte, NC 28206-2011 | 2013-08-28 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on ELIZABETH B WILKES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.