MRS. KATIE BOOTH KITCHEN (NPI# 1154864940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154864940 |
| Entity Type | Individual |
| Full Name | MRS. KATIE BOOTH KITCHEN |
| Credential | CRNA |
| Practice Address |
2720 Sunset Blvd West Columbia SC 29169-4810 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8037912000 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 21096 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 116788 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2720 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708614 | William M Luce | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2005-05-27 |
| 1376144972 | Lexington Health Inc | Internal Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-11-02 |
| 1003416066 | Lexington Health Inc | Physical Therapist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1962002915 | Lexington Health Inc | Emergency Medicine | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-29 |
| 1275133373 | Sean Tran | Pharmacist | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-28 |
| 1538767645 | Lexington Health Inc | Radiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1083212294 | Lexington Health Inc | Radiology | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1942808159 | Lexington Health Inc | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1386241834 | Lexington Health Inc | General Acute Care Hospital | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-07 |
| 1609483247 | Daria Patres Spratley | Dietitian, Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| 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 |
|---|---|---|---|---|
| 1992708614 | William M Luce | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2005-05-27 |
| 1942808159 | Lexington Health Inc | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-10-12 |
| 1083223812 | Jessica Leigh Rosebrock | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-07-28 |
| 1194341552 | Justin James Greenfield | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-06-22 |
| 1518529205 | Amanda Marie Breymeyer | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2019-07-02 |
| 1275191710 | Leah Danielle Eastwood | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2019-05-30 |
| 1285291989 | Randall Barrett Rate | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2019-05-29 |
| 1538558234 | Michael Jacobbe | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2015-01-19 |
| 1528463148 | Cynthia West | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2014-10-24 |
| 1225472251 | Michael Todd Adams | Nurse Anesthetist, Certified Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2013-04-21 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.