INDEPENDENCE ANESTHESIA LLC


Address: 1710 Mayfield Dr, Jonesboro, AR 72401-4563
Phone: 8706138390

INDEPENDENCE ANESTHESIA LLC (NPI# 1114524147) 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) 1114524147
Entity Type Organization
Organization Name INDEPENDENCE ANESTHESIA LLC
Practice Address 1710 Mayfield Dr
Jonesboro
AR 72401-4563
Mailing Address Po Box 3283
Batesville
AR 72503-3283
Practice Telephone 8706138390
Mailing Telephone 8706138390
Enumeration Date 2020-10-02
Last Update Date 2020-10-02
Authorized Official Name STEVEN STALKER (OWNER)
Authorized Official Telephone 8706138390
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR STATE LICENSE CO1386 01

Office Location

Street Address 1710 MAYFIELD DR
City JONESBORO
State AR
Zip Code 72401-4563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
1336633387 Center for Eating Disorders and Behavioral Wellness Plc Social Worker 225 S Main St Ste 102, Jonesboro, AR 72401 2018-06-21
Find all providers in zip 72401

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902457971 Ifeoma Adazi Nurse Practitioner 9620 Ivey Ridge Cir, Jonesboro, GA 30238-4161 2019-09-21
1770075574 Susan Eileen Schorer Nurse Practitioner 303 E Matthews Ave Ste 200, Jonesboro, AR 72401-3120 2018-06-06
1821472077 Surgivue First Assisting Nurse Practitioner 5865 Sinclair Way, Jonesboro, GA 30238 2015-07-17
1386819654 Jennifer Dawn Jarrett Nurse Practitioner 3024 Red Wolf Blvd Ste 6, Jonesboro, AR 72401-7415 2008-04-28
1386759660 Mary Elizabeth Hartwig Nurse Practitioner 223 E Jackson Ave, Jonesboro, AR 72401-3119 2006-08-20
1225689151 Rocio Emy Roades Nurse Practitioner 225 E Jackson Ave, Jonesboro, AR 72401-3119 2019-09-23
1497316343 Alexandra Blackburn Nurse Practitioner 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2019-06-21
1790344562 Lara Ann Mcglothlin Nurse Practitioner 1319 Red Wolf Blvd Ste C, Jonesboro, AR 72401-4585 2019-06-06
1154815843 Melody Lynn Kent Nurse Practitioner 225 E Jackson Ave, Jonesboro, AR 72401-3119 2018-06-18
1053819417 Kristen Paige Neldon Nurse Practitioner 201 E Oak Ave, Jonesboro, AR 72401-4163 2018-01-31
Find all providers in JONESBORO

Competitor

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City JONESBORO
Zip Code 72401

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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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