DEBRA JO BAUER SMITH (NPI# 1316965874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316965874 |
Entity Type | Individual |
Full Name | DEBRA JO BAUER SMITH |
Other Name | JODI B JOHNSON |
Credential | CRNA |
Practice Address |
14 Hawthorne Park Ct Greenville SC 29615-3194 |
Mailing Address |
212 Butler Ave Greenville SC 29601-1913 |
Practice Telephone | 8643310364 |
Practice Fax Number | 8643310370 |
Mailing Telephone | 2564261622 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2019-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | 20039 | SC | Physician Assistants & Advanced Practice Nursing Providers |
N | 367500000X | Nurse Anesthetist, Certified Registered | 1-025651 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BCBS # | 51526491 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104312370 | Debra Kay Smith | Marriage & Family Therapist | 33726 Chrisco St, Agua Dulce, CA 91390-5051 | 2018-07-10 |
1154818540 | Debra Lynne Smith | Registered Nurse | 10601 248th Street Ct E, Graham, WA 98338-6769 | 2018-04-20 |
1922488840 | Debra Smith | Occupational Therapy Assistant | 900 Colonial Lake Dr Apt 923, Madison, AL 35758-2283 | 2015-06-05 |
1629404942 | Debra Smith | Behavioral Analyst | 36 Gotham Ave, Brooklyn, NY 11229 | 2013-09-18 |
1942555677 | Debra Smith | Community Health Worker | 11056 Township Road 101, Findlay, OH 45840-9608 | 2012-07-18 |
1538490719 | Debra Kay Smith | Physician Assistant | One Dell Way, Mailstop Rr 8-49 Well At Dell Health Center, Round Rock, TX 78682 | 2010-01-27 |
1306085667 | Debra M Smith | Speech-Language Pathologist | 38 W Passage Dr, Portsmouth, RI 02871-1358 | 2009-02-10 |
1972714442 | Debra Kay Hines Smith | Physician Assistant | 22629 N 73rd Dr, Glendale, AZ 85310-5662 | 2007-05-25 |
1184758302 | Debra Frazier Smith | Registered Nurse | 3968 Rose Ave, Long Beach, CA 90807-3734 | 2007-03-16 |
1194885186 | Debra A Smith | Preventive Medicine | 7008 Wooded Meadow Rd, Louisville, KY 40241-6411 | 2006-12-11 |
Street Address |
14 HAWTHORNE PARK CT |
City | GREENVILLE |
State | SC |
Zip Code | 29615-3194 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316910086 | Greenville Asc LLC | Clinic/Center | 14 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2006-02-10 |
1619317138 | April Gilbert Klein | Nurse Anesthetist, Certified Registered | 14 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2013-06-28 |
1386918795 | Amsurg Greenville Anesthesia LLC | Nurse Anesthetist, Certified Registered | 14 Hawthorne Park Ct, Greenville, SC 29615-3194 | 2012-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
Find all providers in zip 29615 |
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 |
---|---|---|---|---|
1063905867 | Kelsey Squires Lennon | Nurse Anesthetist, Certified Registered | 101 Reedy View Dr Apt 174, Greenville, SC 29601-1827 | 2018-06-07 |
1457807794 | Freelance Anesthesia Mississippi, LLC | Nurse Anesthetist, Certified Registered | 1746 Highway 1 S Ste C, Greenville, MS 38701-7817 | 2016-08-28 |
1255702007 | Jane Elizabeth Donnan | Nurse Anesthetist, Certified Registered | 1313 E North St, Greenville, SC 29607-1355 | 2015-10-19 |
1255756631 | Uriah Gabriel Magill | Nurse Anesthetist, Certified Registered | 2205a Sweet Bay Dr, Greenville, NC 27834-2535 | 2014-02-21 |
1609130889 | Dara Mclean Johnston | Nurse Anesthetist, Certified Registered | 2080b W Arlington Blvd Ste B, Greenville, NC 27834 | 2012-07-02 |
1477828200 | Nancy Camille Blake | Nurse Anesthetist, Certified Registered | 202 Woodhaven Rd, Greenville, NC 27834-6920 | 2012-03-12 |
1811122278 | James Derrick Calvert | Nurse Anesthetist, Certified Registered | 200 Patewood Dr Ste B100, Greenville, SC 29615-6320 | 2009-05-28 |
1023294543 | Ashlie Pruett Ceips | Nurse Anesthetist, Certified Registered | 701 Grove Road/or, Greenville, SC 29605-4210 | 2008-01-15 |
1588786644 | Jennifer Martin Yow | Nurse Anesthetist, Certified Registered | One St. Francis Drive, Greenville, SC 29601-3955 | 2007-04-06 |
1811948482 | Janet T Guggenheim | Nurse Anesthetist, Certified Registered | 1 Independence Pt, Suite 212, Greenville, SC 29615 | 2006-05-16 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29615 |
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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.