MRS. JESSICA MARIE BRANDON (NPI# 1124353982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124353982 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA MARIE BRANDON |
| Credential | CRNA |
| Practice Address |
2601 Gene George Blvd Springdale AR 72762 |
| Mailing Address |
1 Childrens Way # 653 Little Rock AR 72202-3500 |
| Practice Telephone | 4797256880 |
| Practice Fax Number | 4797256582 |
| Mailing Telephone | 5013641100 |
| Mailing Fax Number | 5013644082 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2009007465 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C02903 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 180228758 | 05 | |
| TRICARE WEST | 431560263 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 W Maple Ave, Suite #503, Springdale, AR 72764 | 4797513722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457692832 | Jessica L Brandon | Psychologist | 4615 Tower Ave, Saint Bernard, OH 45217-1724 | 2013-03-08 |
| 1578721981 | Jessica Brandon | Physician Assistant | 104 Pro Rodeo Dr, Colorado Springs, CO 80919-2334 | 2008-06-02 |
| Street Address |
2601 GENE GEORGE BLVD |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811985302 | Perry Lee Wilbur | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2005-10-10 |
| 1801448022 | Breanne Witherspoon | Audiologist | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2019-07-09 |
| 1699273839 | Justin Neal Morgan | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2018-01-23 |
| 1831602135 | Amanda Schafer Quick | Nurse Practitioner | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2017-11-08 |
| 1629599287 | Michelle Nicole Phillips | Emergency Medicine | 2601 Gene George Blvd, Springdale, AR 72762 | 2017-07-03 |
| 1063878387 | Wesley Mcgehee | Physician Assistant | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2016-01-04 |
| 1114305901 | Sara Reed | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762 | 2015-05-12 |
| 1578951539 | Sara Rachel Prine | Nurse Anesthetist, Certified Registered | 2601 Gene George Blvd, Springdale, AR 72762 | 2014-12-29 |
| 1285053272 | Sarah Jeffreys | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2014-04-08 |
| 1811315310 | Rachel A Mckelvy | Pediatrics | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2014-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| 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 |
|---|---|---|---|---|
| 1932494218 | Leslie Henry | Nurse Anesthetist, Certified Registered | 5303 Bryant Pl, Springdale, AR 72764-2586 | 2011-06-14 |
| 1649399981 | Perry C Wells | Nurse Anesthetist, Certified Registered | 607 E Maple, Springdale, AR 72764 | 2007-03-28 |
| 1326125113 | Chase Placek Floyd Meggers | Nurse Anesthetist, Certified Registered | 601 W Maple Avenue, Suite 503, Springdale, AR 72764-5376 | 2006-11-01 |
| 1417937657 | Vernon O Tucker | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2006-01-21 |
| 1861055204 | Dustin J Franklin | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-22 |
| 1053890327 | Shannon Nguyen | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764 | 2018-08-08 |
| 1477045003 | Jessica Nichole Ratkovic | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764 | 2018-05-30 |
| 1396249629 | Sandy Leigh Hammon-rauchle | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764 | 2018-03-21 |
| 1780112565 | B Lane Aprn-crna | Nurse Anesthetist, Certified Registered | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 | 2017-05-24 |
| 1467992792 | Anna Cathey Kennedy | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2017-03-06 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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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.