CAROLINE PEMBROOKE (NPI# 1114341468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114341468 |
| Entity Type | Individual |
| Full Name | CAROLINE PEMBROOKE |
| Other Name | CAROLINE WERNER |
| Credential | CRNA |
| Practice Address |
7503 Surratts Rd Clinton MD 20735-3358 |
| Practice Telephone | 8556330205 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R174315 | MD | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN628637 | PA | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R174315 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7503 SURRATTS RD |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695807 | Southern Maryland Intensive Care, Inc. | Specialist | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2005-08-02 |
| 1154937829 | Medstar Medical Group II LLC | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-09-18 |
| 1720693732 | Kudi S Njembu | Nurse Practitioner | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-09-15 |
| 1831716760 | Chantal Tuell | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-06-26 |
| 1164049029 | Susan Jane Hicks | Health Educator | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-06-26 |
| 1790311009 | Mariam Yaktieen | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-03-18 |
| 1518592559 | Dana Hinesly | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2020-03-10 |
| 1528606845 | Chigozie Ndugba | Registered Nurse | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2019-12-17 |
| 1336784222 | Iris Chung | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2019-11-14 |
| 1740787191 | Faramade O Eruanga | Family Medicine | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2018-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| 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 |
|---|---|---|---|---|
| 1780783738 | Kenneth Steven Wein | Nurse Anesthetist, Certified Registered | 8 Osprey Com, Clinton, CT 06413 | 2006-09-22 |
| 1073625273 | William C Renfrow | Nurse Anesthetist, Certified Registered | 110 Heights Dr, Clinton, MS 39056-6602 | 2006-08-31 |
| 1538181508 | Linda S. Welch | Nurse Anesthetist, Certified Registered | 4519 180th Street, Clinton, IA 52732 | 2006-07-25 |
| 1699774554 | Troy K Brown | Nurse Anesthetist, Certified Registered | 100 N 30th St, Clinton, OK 73601-3117 | 2005-07-21 |
| 1700886611 | Michele Therese Lewis | Nurse Anesthetist, Certified Registered | 607 Beaman St, Anesthesia Department, Clinton, NC 28328-2603 | 2005-07-21 |
| 1558844738 | Grigoriy Grigoryan | Nurse Anesthetist, Certified Registered | 607 Beaman St, Clinton, NC 28328-2603 | 2018-09-13 |
| 1215414255 | Daniel F. Campbell | Nurse Anesthetist, Certified Registered | 1600 N 2nd St, Clinton, MO 64735-1192 | 2018-07-23 |
| 1093263121 | Brandy Stinson | Nurse Anesthetist, Certified Registered | 1410 N 4th St, Clinton, IA 52732-2940 | 2016-09-19 |
| 1083078703 | Rui Hong | Nurse Anesthetist, Certified Registered | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2016-04-08 |
| 1124480066 | Usha S Parker | Nurse Anesthetist, Certified Registered | 7503 Surratts Road, Clinton, MD 20735 | 2016-03-21 |
| Find all providers in CLINTON | ||||
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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.