MELISA PETTI (NPI# 1053742023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053742023 |
| Entity Type | Individual |
| Full Name | MELISA PETTI |
| Credential | CRNA |
| Practice Address |
875 Eigth St. Ne Massillon OH 44648-8503 |
| Mailing Address |
Po Box 74994 Cleveland OH 44194-4994 |
| Practice Telephone | 3308344788 |
| Practice Fax Number | 3308344789 |
| Mailing Telephone | 6144305707 |
| Mailing Fax Number | 6144305744 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN267483 | OH | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | COA.15270 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
875 EIGTH ST. NE |
| City | MASSILLON |
| State | OH |
| Zip Code | 44648-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356943 | Wendy Michelle Kelly | Pharmacist | 1 Massillon Mrktplc Dr Sw, Massillon, OH 44646-2018 | 2020-11-02 |
| 1568062529 | Premier Approach, LLC | Day Training, Developmentally Disabled Services | 2056 Wales Rd Ne, Massillon, OH 44646-4112 | 2020-10-29 |
| 1225637150 | Leesha Paulus | Nurse Practitioner | 7984 Windward Trace Cir Nw, Massillon, OH 44646-1176 | 2020-10-21 |
| 1114525714 | Courtney Lynae Chapman | Registered Nurse | 3838 Kenyon Ave Nw, Massillon, OH 44647-9552 | 2020-10-15 |
| 1306444526 | Rhonda K Boles | Home Health Aide | 1142 Tremont Ave Sw, Massillon, OH 44647-6368 | 2020-10-09 |
| 1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
| 1992310965 | Rayven Amar | Home Health Aide | 2135 Harsh Ave Se Apt 2a, Massillon, OH 44646-7180 | 2020-09-15 |
| 1518572858 | Jessica Metz | Registered Nurse | 4209 Glacier Ave Nw, Massillon, OH 44646-1429 | 2020-09-14 |
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1194330522 | David Jerome Anthony | Home Health Aide | 3107 Roanoke St Nw, Massillon, OH 44646-2849 | 2020-09-11 |
| Find all providers in MASSILLON | ||||
| 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 |
|---|---|---|---|---|
| 1013946599 | Michael L Mays | Nurse Anesthetist, Certified Registered | 2125 University Dr Se, Massillon, OH 44646-7446 | 2006-06-30 |
| 1780101360 | Jeremy Alfani | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-08-24 |
| 1730638032 | Britton Hostetler | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-09-27 |
| 1336698158 | Amanda Ross | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Northstar Anesthesia, Massillon, OH 44646-8503 | 2016-09-22 |
| 1831647973 | Casey A Fisher | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Anesthesia Department, Massillon, OH 44646-8503 | 2016-09-19 |
| 1437455185 | Eric M Kramer | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2011-01-28 |
| 1093022378 | April L Demali | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2010-09-08 |
| 1629385901 | David R Stephens | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2010-09-08 |
| 1679809800 | Tabitha Jean Cline | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2009-10-22 |
| 1497936058 | Jason C Bryant | Nurse Anesthetist, Certified Registered | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2007-11-23 |
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| 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.