JACOB MATTHEW GELDRICH (NPI# 1063742716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063742716 |
| Entity Type | Individual |
| Full Name | JACOB MATTHEW GELDRICH |
| Credential | CRNA |
| Practice Address |
2127 Academy Way La Vergne TN 37086-3821 |
| Mailing Address |
2127 Academy Way Lavergne TN 37086-0000 |
| Practice Telephone | 8656806061 |
| Mailing Telephone | 8656806061 |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2010-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0000014614 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2127 ACADEMY WAY |
| City | LA VERGNE |
| State | TN |
| Zip Code | 37086-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184146037 | Elizabeth Vernon | Nurse Practitioner | 126 Washer Drive, La Vergne, TN 37086 | 2017-07-12 |
| 1508164997 | Priscilla Bolt Travis | Pharmacist | 5192 Murfreesboro Road, Rite Aid Pharmacy, Lavergne, TN 37086 | 2011-03-09 |
| 1336349000 | Larry M Gray | Marriage & Family Therapist | 6001 Jackson Square Blvd., Suite 200, Lavergne, TN 37086 | 2007-07-20 |
| 1346456845 | Chd Meridian Healthcare | Clinic/Center | 1201 Bridgestone Parkway, Lavergne, TN 37086 | 2007-05-14 |
| 1821140468 | Dawn Eilenne Fleming | Dentist | 6001 Jackson Square Blvd., Ste. 1001, Lavergne, TN 37086 | 2007-01-16 |
| 1700941291 | Karl A Probst | Chiropractor | 262 Old Nashville Hwy, La Vergne, TN 37086 | 2006-12-26 |
| 1659447571 | Lucy Burgin Sloan | Dentist | 379 Waldron Rd, Lavergne, TN 37086 | 2006-11-24 |
| 1306929005 | Rutherford County Medical Associates, LLC | Family Medicine | 6001 Jackson Sq, Suite 100 Family Healthcare, La Vergne, TN 37086 | 2006-10-24 |
| 1164525887 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5202 Murfreesboro Rd, La Vergne, TN 37086 | 2006-09-07 |
| 1265429898 | Melissa Robison | Pharmacy Technician | 108 Enon Springs Rd, Smyrna, TN 37086 | 2005-09-29 |
| Find all providers in zip 37086 | ||||
| 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 |
|---|---|---|---|---|
| 1487261889 | Taylor Keasler Reed | Nurse Anesthetist, Certified Registered | 979 E 3rd St Ste C-325, Chattanooga, TN 37403-2136 | 2020-09-29 |
| 1831702372 | Chinoyerem Anayo Oji | Nurse Anesthetist, Certified Registered | 2674 New Port Royal Rd, Thompsons Station, TN 37179-5341 | 2020-08-25 |
| 1134765332 | Brennan Mountz | Nurse Anesthetist, Certified Registered | 774 Iris Dr, Sparta, TN 38583-2459 | 2019-11-22 |
| 1760954242 | Ndemafia Tung | Nurse Anesthetist, Certified Registered | 1 Williamsburg Dr Apt 614, Hendersonville, TN 37075-5782 | 2018-12-21 |
| 1649745225 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1304 Mccallie Ave, Chattanooga, TN 37404-2933 | 2018-10-10 |
| 1679058929 | Bristol Computer Services, Inc. | Nurse Anesthetist, Certified Registered | 3185 W State St Ste 2020, Bristol, TN 37620-1600 | 2018-10-02 |
| 1295241495 | Darren Alex Watson | Nurse Anesthetist, Certified Registered | 744 Blount Cir, Rutledge, TN 37861-5713 | 2017-12-26 |
| 1710499561 | Legacy Anesthesia | Nurse Anesthetist, Certified Registered | 12186 Paw Paw Plains Rd, Lenoir City, TN 37771-3510 | 2017-11-02 |
| 1922524073 | Sarah Montgomery Prudhon | Nurse Anesthetist, Certified Registered | 50 N Dunlap St Fl 2, Memphis, TN 38103-2800 | 2017-08-21 |
| 1427585892 | Crystal Koss | Nurse Anesthetist, Certified Registered | 5653 Frist Blvd Ste 532, Hermitage, TN 37076-2067 | 2017-05-17 |
| Find all providers with the same taxonomy | ||||
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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.