MRS. KATHERINE ROSE RIVA-FOSTER (NPI# 1073869475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073869475 |
Entity Type | Individual |
Full Name | MRS. KATHERINE ROSE RIVA-FOSTER |
Other Name | MS. KATHERINE ROSE ZELLER |
Credential | CRNA |
Practice Address |
1401 E 12th St Mendota IL 61342 |
Mailing Address |
1401 E 12th St Mendota IL 61342-9216 |
Practice Telephone | 8153431925 |
Mailing Telephone | 8155391607 |
Enumeration Date | 2012-08-03 |
Last Update Date | 2018-06-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 209-009634 | IL | Allopathic & Osteopathic Physicians |
Y | 367500000X | Nurse Anesthetist, Certified Registered | 041.328911 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1401 E 12TH ST |
City | MENDOTA |
State | IL |
Zip Code | 61342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376879122 | Richard Jospeh Baker | Nurse Anesthetist, Certified Registered | 1401 E 12th St, Mendota, IL 61342-9216 | 2009-10-29 |
1578197513 | Tracie R Kelly | Nurse Practitioner | 1401 E 12th St, Mendota, IL 61342-9216 | 2020-02-28 |
1699230813 | Carissa Elliott | Speech-Language Pathologist | 1401 E 12th St, Mendota, IL 61342-9216 | 2019-02-01 |
1922457118 | Marissa Gatza | Occupational Therapy Assistant | 1401 E 12th St, Mendota, IL 61342-9216 | 2016-06-08 |
1770975377 | National Pain Clinic, LLC | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2015-02-19 |
1659772242 | Kristi Gonzales | Physician Assistant | 1401 E 12th St, Mendota, IL 61342-9216 | 2014-09-15 |
1891121323 | Ashlee Hoff | Occupational Therapist | 1401 E 12th St, Mendota, IL 61342-9216 | 2013-09-16 |
1629404157 | Reid Baltikauski | Physical Therapist | 1401 E 12th St, Mendota, IL 61342-9216 | 2013-09-16 |
1174888275 | Jared M Wise | Physical Therapist | 1401 E 12th St, Mendota, IL 61342-9216 | 2012-07-05 |
1457616559 | Franklin J Duro | Physical Therapist | 1401 E 12th St, Mendota, IL 61342-9216 | 2012-07-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568536845 | Keri Sundberg | Dentist | 709 Plaza Drive, Mendota, IL 61342 | 2006-11-20 |
1114022589 | Goslin Drug Store Inc | Pharmacy | 1212 13th Ave, Mendota, IL 61342 | 2006-09-13 |
1467402412 | Neungja Chung | Acupuncturist | Mendota Community Hospital, 1315 Memorial Drive, Mendota, IL 61342 | 2006-05-11 |
1487622205 | Kelly R. Minihane | Physician Assistant | 1404 Washington Street, Mendota, IL 61342 | 2006-03-08 |
1134193022 | Donald Wilbert Piller | Chiropractor | 1312 Lakewood Dr, Mendota, IL 61342 | 2006-02-15 |
1386789220 | Juli Renee Barrett Leifheit | Chiropractor | 901 Main St, Ste A, Mendota, IL 61342 | 2007-02-20 |
1205383197 | Mendota Community Hospital | Clinic/Center | 1401 Washington Street, Mendota, IL 61342-0001 | 2016-09-08 |
1780699447 | Linnea L Person | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2006-07-30 |
1356576300 | Barbara Jean Needs | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2009-05-20 |
1629064621 | Dharmashi Vishanji Bhate | Radiology | 1718 Hillcrest Ct, Mendota, IL 61342-1008 | 2005-09-25 |
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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 |
---|---|---|---|---|
1376879122 | Richard Jospeh Baker | Nurse Anesthetist, Certified Registered | 1401 E 12th St, Mendota, IL 61342-9216 | 2009-10-29 |
1912009887 | James F Meyer | Nurse Anesthetist, Certified Registered | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-09-02 |
1114931276 | Kenneth J. Beggs | Nurse Anesthetist, Certified Registered | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-27 |
1316960404 | Kenneth K Potts | Nurse Anesthetist, Certified Registered | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-26 |
1952336323 | Mendota Community Hospital | Nurse Anesthetist, Certified Registered | 1401 East 12th Street, Mendota, IL 61342-9216 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639797525 | Crna Stat Inc | Nurse Anesthetist, Certified Registered | 4534 S Lake Park Ave, Chicago, IL 60653-4510 | 2020-07-08 |
1285258855 | Doug Brickey | Nurse Anesthetist, Certified Registered | 913 N Main St Apt 502, Rockford, IL 61103-7058 | 2020-05-30 |
1508480153 | Scott Allsup | Nurse Anesthetist, Certified Registered | 1337 W Early Ave Apt 1, Chicago, IL 60660-5465 | 2020-05-29 |
1265051817 | Apollo Anesthesia and Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 520 Valley View Dr Ste 300, Moline, IL 61265-6152 | 2020-04-14 |
1194352286 | Decelle Jewel Manuel Enriquez | Nurse Anesthetist, Certified Registered | 251 E Huron St Ste F5-704, Chicago, IL 60611-2908 | 2020-03-26 |
1538795398 | Marcin Cebula | Nurse Anesthetist, Certified Registered | 7519 Long Ave, Burbank, IL 60459-1362 | 2020-03-12 |
1376105684 | Tel Anesthesia, Ltd | Nurse Anesthetist, Certified Registered | 7 Flint Ct, Bloomington, IL 61705-8830 | 2019-07-08 |
1013474071 | Vitalz Anesthesia Unlimited LLC | Nurse Anesthetist, Certified Registered | 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 | 2019-02-26 |
1689130247 | Sheri Rylko | Nurse Anesthetist, Certified Registered | 1653 W. Congress Pkwy. Jelke 7, Chicago, IL 60612 | 2019-02-19 |
1760968101 | Daniel Bermea | Nurse Anesthetist, Certified Registered | 6811 Brementowne Dr, Tinley Park, IL 60477-1605 | 2018-07-18 |
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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.