CHELSEY M CLARK (NPI# 1114550944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114550944 |
| Entity Type | Individual |
| Full Name | CHELSEY M CLARK |
| Credential | DNP, CRNA |
| Practice Address |
2300 N Edward St Decatur IL 62526-4163 |
| Mailing Address |
2300 N Edward St Decatur IL 62526-4192 |
| Practice Telephone | 2178768121 |
| Mailing Telephone | 2178768121 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209.020885 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891014676 | Chelsey Lynn Clark | Behavioral Analyst | 2525 N Glenwood Dr, Stillwater, OK 74075-2613 | 2010-05-19 |
| 1609477017 | Chelsey Clark | Pharmacist | 101 Highway 47 E, Troy, MO 63379-3100 | 2020-11-03 |
| 1669097291 | Chelsey Marie Clark | Behavior Technician | 11661 Preston Rd Ste 260, Dallas, TX 75230-6108 | 2020-06-09 |
| 1023501533 | Chelsey Clark | Behavioral Analyst | 6100 Colleyville Blvd Ste 135, Colleyville, TX 76034-8038 | 2018-06-08 |
| 1699172049 | Chelsey Clark | Dietitian, Registered | 320 Alpenglow Lane, Livingston, MT 59047 | 2014-12-01 |
| Street Address |
2300 N EDWARD ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829886 | Tansel Turgut | Internal Medicine | 2300 N Edward St, Ste 2400, Decatur, IL 62526-4163 | 2005-05-24 |
| 1215538004 | Jordanna Ruth Wilton | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4192 | 2020-11-06 |
| 1366054116 | Stephanie Nicole Blaha | Physician Assistant | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-08-21 |
| 1861028193 | Angelina Marie Thomas | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2020-03-18 |
| 1942857735 | Jessica Oranika | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-26 |
| 1003463225 | Jason Grauer | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4192 | 2019-08-22 |
| 1780239434 | Maggie Kaye Matthews | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-08 |
| 1871052522 | Michelle Caroline Kronmiller | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-03-12 |
| 1013474097 | Brittney L Jeffery | Nurse Anesthetist, Certified Registered | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-02-26 |
| 1164988325 | Brandon Barringer | Pharmacist | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1366071557 | Kelly A Winter | Nurse Anesthetist, Certified Registered | 780 Hillmont Ave, Decatur, GA 30030-3944 | 2020-04-08 |
| 1346645140 | Phoenix Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 304 Mead Rd, Decatur, GA 30030-3625 | 2014-10-23 |
| 1730444845 | Jason Kish | Nurse Anesthetist, Certified Registered | 3881 E Camelot Cir Apt 302, Decatur, IL 62526-2078 | 2012-07-05 |
| 1396914255 | Lashawn Renee Mccarty | Nurse Anesthetist, Certified Registered | 3848 Cherry Ridge Blvd, Decatur, GA 30034-5050 | 2008-02-25 |
| 1154518264 | Bryan James Dulock | Nurse Anesthetist, Certified Registered | 604 Medical Center Dr, Decatur, TX 76234 | 2007-10-02 |
| 1912061813 | Genia Elizabeth Corum | Nurse Anesthetist, Certified Registered | 1201 7th Street Se, Decatur, AL 35609-2239 | 2006-12-22 |
| 1720173354 | Rachel Gail Harris | Nurse Anesthetist, Certified Registered | 2300 N. Edward, Decatur, IL 62526 | 2006-10-03 |
| 1639262389 | Sharon R Bangert | Nurse Anesthetist, Certified Registered | 2300 N Edward, Decatur, IL 62526 | 2006-10-02 |
| 1316030273 | Amanda Nicole Lovelady Jackson | Nurse Anesthetist, Certified Registered | 1207 7th Street Se, Decatur, AL 35601 | 2006-10-02 |
| 1093821894 | Mary Kathryn Kennedy | Nurse Anesthetist, Certified Registered | 1845 S Fm 51 Unit A-2, Decatur, TX 76234-3764 | 2006-08-22 |
| Find all providers in DECATUR | ||||
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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.