PATRICIA ANN SULLIVAN-LIEBIG


Address: 282 Oak Haven Dr, Melbourne, FL 32940-1810
Phone: 3218636531

PATRICIA ANN SULLIVAN-LIEBIG (NPI# 1073627980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073627980
Entity Type Individual
Full Name PATRICIA ANN SULLIVAN-LIEBIG
Other Name PATRICIA ANN SULLIVAN
Credential CRNA
Practice Address 282 Oak Haven Dr
Melbourne
FL 32940-1810
Practice Telephone 3218636531
Practice Fax Number 3212546196
Mailing Telephone 3218636531
Mailing Fax Number 3212546196
Enumeration Date 2006-08-18
Last Update Date 2017-04-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered ARNP1717682 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL RRMCR 430000819 01
FL BCBSFL G0636 01
FL 302046100 05

Office Location

Street Address 282 OAK HAVEN DR
City MELBOURNE
State FL
Zip Code 32940-1810

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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609215730 Kgc Crna LLC Nurse Anesthetist, Certified Registered 3337 Cappio Dr, Melbourne, FL 32940-1313 2013-06-21
1356639629 Brittney Grace Nurse Anesthetist, Certified Registered 2136 Dryden Ct, Melbourne, FL 32935-3825 2011-07-20
1417082850 Jared Saber D'avi Nurse Anesthetist, Certified Registered 1040 Inverness Ave, Melbourne, FL 32940-1913 2007-02-23
1164529129 Salvatore E Bologna Nurse Anesthetist, Certified Registered 8040 N Wickham Rd, Melbourne, FL 32940-8298 2006-09-20
1255447223 Bambi Lynn Durik Nurse Anesthetist, Certified Registered 909 E Melbourne Ave, Melbourne, FL 32901-5578 2006-08-22
1962419820 Daniel Mcdonough Nurse Anesthetist, Certified Registered 1304 Oak St, Melbourne, FL 32901-3111 2006-08-02
1720011877 Anesthesia Services of Brevard Nurse Anesthetist, Certified Registered 315 E Nasa Blvd, Melbourne, FL 32901-1939 2006-07-09
1093747925 Sandra Jean Bess Nurse Anesthetist, Certified Registered 625 Sandpiper Cir, Melbourne, FL 32901-8140 2006-07-07
1427673011 Jessica Joy Milnor Nurse Anesthetist, Certified Registered 1350 Hickory St, Melbourne, FL 32901-3278 2020-06-10
1649745035 Lovelock Anesthesia LLC Nurse Anesthetist, Certified Registered 1700 W Hibiscus Blvd, Melbourne, FL 32901-2615 2018-10-11
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Competitor

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City MELBOURNE
Zip Code 32940

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Dataset Information

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.

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