BREANN MARIE KUTZER MCMANUS (NPI# 1245490275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245490275 |
Entity Type | Individual |
Full Name | BREANN MARIE KUTZER MCMANUS |
Other Name | BREANN MARIE KUTZER |
Credential | CRNA |
Practice Address |
500 N Nappanee St Suite 11-b Elkhart IN 46514-1503 |
Practice Telephone | 5745229922 |
Practice Fax Number | 5745229926 |
Mailing Telephone | 5745229922 |
Mailing Fax Number | 5745229926 |
Enumeration Date | 2008-06-12 |
Last Update Date | 2009-01-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | 28155028A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200922790 | 05 | |
IN | ANTHEM | 000000569464 | 01 |
Street Address |
500 N NAPPANEE ST SUITE 11-B |
City | ELKHART |
State | IN |
Zip Code | 46514-1503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528065190 | Robert Bart Powers | Anesthesiology | 500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503 | 2005-06-28 |
1396175642 | Nichole Mcdowell | Nurse Anesthetist, Certified Registered | 500 N Nappanee St, Elkhart, IN 46514-1503 | 2013-11-24 |
1013345412 | Taqi Qays Abdu-as-salaam | Nurse Anesthetist, Certified Registered | 500 N Nappanee St, Suite 11, Elkhart, IN 46514-1503 | 2013-10-22 |
1730514993 | Tommy Wayne Sampson | Nurse Anesthetist, Certified Registered | 500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503 | 2013-09-06 |
1699013722 | D&a Dissolving, Inc. | Clinic/Center | 500 N Nappanee St, 3b, Elkhart, IN 46514-1503 | 2013-01-24 |
1821399197 | Dee Ann Berry | Nurse Anesthetist, Certified Registered | 500 N Nappanee St, Ste. 11-b, Elkhart, IN 46514-1503 | 2010-11-03 |
1689986549 | Sonia Hidalgo | Nurse Anesthetist, Certified Registered | 500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503 | 2010-07-08 |
1639499460 | Megan Saige | Social Worker | 500 N Nappanee St, Elkhart, IN 46514-1503 | 2010-06-03 |
1881822039 | John J Retzloff | Nurse Anesthetist, Certified Registered | 500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503 | 2009-06-26 |
1053527796 | Geraldine K Roach | Nurse Anesthetist, Certified Registered | 500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503 | 2007-05-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
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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 |
---|---|---|---|---|
1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
1568967461 | Miriam Kirori | Nurse Anesthetist, Certified Registered | 600 East Blvd Apt 2a, Elkhart, IN 46514-2483 | 2018-03-24 |
1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
1093169096 | Lindsay Vasil | Nurse Anesthetist, Certified Registered | 1513 E Jackson Blvd, Elkhart, IN 46516-4405 | 2016-04-16 |
1538459904 | Rose M. Mwania | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave Ste A, Elkhart, IN 46516 | 2011-04-19 |
1548210560 | Lakeshore Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | 1755 Fulton St, Ste. A, Elkhart, IN 46514-1927 | 2006-05-11 |
1043288475 | Marquessa D Fisher | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave, Suite B, Elkhart, IN 46516-9348 | 2006-03-10 |
1205460748 | New Amsterdam Anesthesia PC | Nurse Anesthetist, Certified Registered | 500 Arcade Ave Ste 100, Elkhart, IN 46514-2478 | 2020-02-24 |
1083258099 | Joshua Stewart | Nurse Anesthetist, Certified Registered | 600 East Blvd, Elkhart, IN 46514-2483 | 2019-11-01 |
1457916140 | Elvie J Frey Jr. | Nurse Anesthetist, Certified Registered | 600 East Blvd, Elkhart, IN 46514-2483 | 2019-05-08 |
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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.