MELISSA POLISAR (NPI# 1285108381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285108381 |
| Entity Type | Individual |
| Full Name | MELISSA POLISAR |
| Credential | CRNA |
| Practice Address |
1600 Lakeland Hills Blvd. Lakeland FL 33805-3019 |
| Practice Telephone | 8636807830 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807830 |
| Mailing Fax Number | 8662648519 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 9432464 | FL | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APRN11001042 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 11001042 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 LAKELAND HILLS BLVD. |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514386 | Steven Gerard Achinger | Internal Medicine | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2005-08-09 |
| 1003479890 | Nathan Yount | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3380 | 2019-04-17 |
| 1053731885 | Vindya Gunawardena | Internal Medicine | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2014-04-19 |
| 1629364849 | Christopher Isaiah Jones | Internal Medicine | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2011-06-27 |
| 1922306398 | Diane M. Booth | Nurse Practitioner | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2011-03-08 |
| 1124342795 | Melissa Marie Kemple | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2010-03-25 |
| 1861723587 | Jena Marie Hill | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2010-01-20 |
| 1134456791 | Jayson L. Bilby | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2009-11-03 |
| 1215164660 | Matthew Edward Zanke | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2009-06-12 |
| 1255578266 | Dean William Jani | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2009-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
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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 |
|---|---|---|---|---|
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| 1003146317 | Matthew Lee Davis | Nurse Anesthetist, Certified Registered | 5701 Stratford Lane, Lakeland, FL 33813 | 2010-01-08 |
| 1760536791 | Donna F Long | Nurse Anesthetist, Certified Registered | 4739 Tierra Alta Ct, Lakeland, FL 33813-2362 | 2007-01-23 |
| 1639105596 | Catherine Abbie Benna-mallette | Nurse Anesthetist, Certified Registered | 5859 Swallow Dr, Lakeland, FL 33809-7633 | 2006-06-23 |
| 1932739828 | Ashley Duncan | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-01-21 |
| 1285273672 | Nicholas Skulimoski | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2020-01-02 |
| 1730741356 | Kellie L. Smaidi | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2019-07-03 |
| 1225695356 | Andrew M Miller | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2019-05-23 |
| 1003479890 | Nathan Yount | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3380 | 2019-04-17 |
| 1750853024 | David Benitez | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2018-12-26 |
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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.