VICTORIA HERRADURA (NPI# 1134630643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134630643 |
| Entity Type | Individual |
| Full Name | VICTORIA HERRADURA |
| Credential | CRNA |
| Practice Address |
747 Broadway Seattle WA 98122-4379 |
| Mailing Address |
2117 S 277th Pl Federal Way WA 98003-6954 |
| Practice Telephone | 2063866000 |
| Mailing Telephone | 2533358025 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60293854 | WA | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP60828828 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
747 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935960 | Marilee M. Jensen | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2005-07-07 |
| 1366058919 | Mairghread Foley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-18 |
| 1891301628 | Jessica C Kelley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-17 |
| 1972116010 | Lindsey Gervascio | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2020-08-28 |
| 1669097572 | Jisun Park | Dietitian, Registered | 747 Broadway, Seattle, WA 98122-4379 | 2020-06-16 |
| 1023633187 | Hang Hoang-nguyen | Pharmacist | 747 Broadway, Seattle, WA 98122-4307 | 2020-06-14 |
| 1558981357 | Caitlin Elizabeth Busbee | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-21 |
| 1164041323 | Emma Ludesi Makoba | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4379 | 2020-04-08 |
| 1043849375 | Kaitlin Jane Byerly | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-07 |
| 1649809161 | Jia Hui Wang | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
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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 |
|---|---|---|---|---|
| 1063043982 | Jose Daniel Olivera | Nurse Anesthetist, Certified Registered | 4800 Sand Point Way Ne Ste 100, Seattle, WA 98105-3901 | 2020-01-29 |
| 1942765359 | Ethereal Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 9730 3rd Ave Ne Ste 200, Seattle, WA 98115-2023 | 2019-02-11 |
| 1275933962 | Ally Anesthesia Services Pllc | Nurse Anesthetist, Certified Registered | 914 N 70th St, Seattle, WA 98103-5335 | 2014-08-29 |
| 1174822977 | Sentinel Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 8120 23rd Ct Ne, Seattle, WA 98115-4534 | 2011-03-18 |
| 1053622720 | Ashley Elizabeth Fedan | Nurse Anesthetist, Certified Registered | 215 1st Ave W Apt 711, Seattle, WA 98119-4257 | 2010-06-28 |
| 1508086422 | N W Eye Surgeons P C | Nurse Anesthetist, Certified Registered | 10330 Meridian Ave N Ste 370, Seattle, WA 98133 | 2007-04-26 |
| 1104049915 | Level One Anesthesia,pllc | Nurse Anesthetist, Certified Registered | 317 Ne 75th St, Seattle, WA 98115-4023 | 2007-04-10 |
| 1700923026 | Patrick Ludwig Klimczyk | Nurse Anesthetist, Certified Registered | 2801 Nw 93rd St, Seattle, WA 98117-2936 | 2007-01-30 |
| 1821140062 | Adrienne S. Pape | Nurse Anesthetist, Certified Registered | 700 Minor Ave, Seattle, WA 98104-2146 | 2007-01-17 |
| 1700815578 | Erica J Mccall | Nurse Anesthetist, Certified Registered | Uwmc, 1959 Ne Pacific Mail Code 356118, Seattle, WA 98195-0001 | 2006-07-02 |
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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.