MICHAEL LYNN NICK (NPI# 1275512006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275512006 |
| Entity Type | Individual |
| Full Name | MICHAEL LYNN NICK |
| Credential | CRNA |
| Practice Address |
1305 Wonder World Dr Ste 105 Yps Anesthesia San Marcos TX 78666-7502 |
| Mailing Address |
Po Box 20452 Yps-cred Columbus OH 43220-0452 |
| Practice Telephone | 5123538161 |
| Practice Fax Number | 5123538255 |
| Mailing Telephone | 6144422406 |
| Mailing Fax Number | 6144422410 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2015-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP119189 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 788451 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN187035 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 3082 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS TX | 8069UE | 01 |
| TX | 216464202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497198873 | Michael Joseph Nick | Student in an Organized Health Care Education/Training Program | 451 Dental Science S, Iowa City, IA 52242-1001 | 2013-04-16 |
| 1841427457 | Michael Joseph Nick | Dentist | 2334 W. Lawrence Ave, Suite 201, Chicago, IL 60625-1046 | 2009-06-22 |
| 1639480254 | Michael Shawn Nick | Pharmacist | 1611 S Utica Ave, Ste 217, Tulsa, OK 74104-4909 | 2010-06-29 |
| Street Address |
1305 WONDER WORLD DR STE 105 YPS ANESTHESIA |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982695458 | Wayne Clinton Wise | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr Ste 105, San Marcos, TX 78666-7502 | 2005-11-02 |
| 1992908321 | Jericho Gerald Joseph Loupe | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr Ste 105, Yps-credentialing, San Marcos, TX 78666-7502 | 2007-06-05 |
| 1255449286 | Catherine Renee Carpenter | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr Ste 105, Yps - Credentialing, San Marcos, TX 78666-7502 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| 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 |
|---|---|---|---|---|
| 1982695458 | Wayne Clinton Wise | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr Ste 105, San Marcos, TX 78666-7502 | 2005-11-02 |
| 1114388451 | Centrix One Healthcare, LLC | Nurse Anesthetist, Certified Registered | 611 Staples Rd, San Marcos, TX 78666-1426 | 2016-03-15 |
| 1639592967 | Justin Roger Grimes | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr, Ste 105, San Marcos, TX 78666-7546 | 2014-01-22 |
| 1386915619 | Lindsey Marie Smith-dunford | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7546 | 2012-01-18 |
| 1992908321 | Jericho Gerald Joseph Loupe | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr Ste 105, Yps-credentialing, San Marcos, TX 78666-7502 | 2007-06-05 |
| 1194878983 | Wendell M Holladay | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr, Ste. 105, San Marcos, TX 78666-7546 | 2007-01-18 |
| 1255449286 | Catherine Renee Carpenter | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr Ste 105, Yps - Credentialing, San Marcos, TX 78666-7502 | 2006-08-29 |
| 1417062548 | Deborah M Schriewer | Nurse Anesthetist, Certified Registered | 1301 Wonder World Dr, San Marcos, TX 78666-7533 | 2006-08-20 |
| 1114942695 | Mark Field Mackey | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr, Ste 105, San Marcos, TX 78666-7546 | 2006-07-13 |
| 1396770590 | Gregory S Alexander | Nurse Anesthetist, Certified Registered | 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7546 | 2006-07-12 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
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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.