SHIRLEY A MONDRAGON (NPI# 1336181148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336181148 |
| Entity Type | Individual |
| Full Name | SHIRLEY A MONDRAGON |
| Credential | CRNA |
| Practice Address |
5101 Willow Springs Rd La Grange IL 60525-2600 |
| Mailing Address |
3742 Glendenning Rd Downers Grove IL 60515-1526 |
| Practice Telephone | 7083521200 |
| Mailing Telephone | 6309639750 |
| Mailing Fax Number | 6309636510 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2010-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 041170611 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134605389 | Shirley Mondragon | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-07-11 |
| Street Address |
5101 WILLOW SPRINGS RD |
| City | LA GRANGE |
| State | IL |
| Zip Code | 60525-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508824111 | Peter Norvid | Internal Medicine | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2006-05-03 |
| 1245795988 | Jw Pharmacy & Dme Inc | Pharmacy | 5101 Willow Springs Rd, La Grange, IL 60525 | 2019-02-06 |
| 1982183711 | Kimberly Allison Gregoriou | Nurse Practitioner | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2018-08-13 |
| 1992224042 | Carly Jones | Physical Therapist | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2017-09-10 |
| 1659827186 | Dipankar Mukhopadhyay | Pediatrics | 5101 Willow Springs Rd, Family Practice Residency, La Grange, IL 60525-2600 | 2016-08-25 |
| 1780055350 | Elizabeth Zawila | Dietitian, Registered | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2015-10-08 |
| 1891176830 | Jodie Lynne Gaw | Family Medicine | 5101 Willow Springs Rd, 2nd Floor, La Grange, IL 60525-2600 | 2015-06-16 |
| 1588068274 | Adventist Midwest Health | Rehabilitation Unit | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2014-10-09 |
| 1669888491 | Raju Kirtikumar Shah | Family Medicine | 5101 Willow Springs Rd, 2nd Floor, La Grange, IL 60525-2600 | 2014-07-01 |
| 1003221680 | Kevin Darnell Johnson | Student in an Organized Health Care Education/Training Program | 5101 Willow Springs Rd, 2nd Floor, La Grange, IL 60525-2600 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923837 | Cheryl Buhrke | Speech-Language Pathologist | 1301 W. Cossitt Ave., La Grange, IL 60525 | 2017-10-19 |
| 1881113462 | Karen Aluise | Speech-Language Pathologist | 6818 Joliet Rd. #2, Indian Head Park, IL 60525 | 2017-09-14 |
| 1689126997 | Adriana Digianfilippo | Occupational Therapist | 18 N. Catherine, Lagrange, IL 60525 | 2016-11-03 |
| 1679953582 | Paulina Pinzon | Counselor | 6548 Laurel Avenue, Indian Head Park, IL 60525 | 2015-06-05 |
| 1639446925 | Aarti Parikh | Pharmacist | 6600 S. Willow Springs Rd, Indian Head Park, IL 60525 | 2011-11-30 |
| 1831476795 | Jessica E Feller | Physician Assistant | 6555 South Willow Springs Road, Suite 6, Countryside, IL 60525 | 2011-11-07 |
| 1477833218 | Robyn Lee Frendling | Behavioral Analyst | 9649 W. 55th St, Countryside, IL 60525 | 2011-08-25 |
| 1457630543 | Kerri E Kabela | Physical Therapist | 705 W. Plainfield Rd, Suite 1, Countryside, IL 60525 | 2011-08-08 |
| 1275826984 | G&u Orthopedic, LLC | Durable Medical Equipment & Medical Supplies | 106 W. Calendar Ave., 127, La Grange, IL 60525 | 2011-05-27 |
| 1952609752 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 705 W. Plainfield Road, Suite 1, Countryside, IL 60525 | 2011-03-03 |
| Find all providers in zip 60525 | ||||
| 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 |
|---|---|---|---|---|
| 1023215480 | Charlotte Blauert Reilly | Nurse Anesthetist, Certified Registered | 1 St. Marks Place, La Grange, TX 78945 | 2007-06-29 |
| 1154415693 | Kent K Babcock | Nurse Anesthetist, Certified Registered | 353 N Madison, La Grange, TX 78945-2231 | 2006-10-02 |
| 1861464232 | Timothy Scott Huffman | Nurse Anesthetist, Certified Registered | 1 St Marks Pl, La Grange, TX 78945 | 2006-02-01 |
| 1174760979 | Baca Anesthesia PC | Nurse Anesthetist, Certified Registered | 1 Saint Marks Pl, La Grange, TX 78945-1250 | 2009-01-15 |
| 1891977799 | E T Baker Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 1 Saint Marks Pl, La Grange, TX 78945-1250 | 2007-12-03 |
| 1184719650 | Babcock Anesthesia Providers PC | Nurse Anesthetist, Certified Registered | 353 N Madison, La Grange, TX 78945-2231 | 2006-10-03 |
| 1235249400 | Guy Leroy Abbey | Nurse Anesthetist, Certified Registered | 1 Saint Marks Pl, La Grange, TX 78945-1250 | 2006-08-30 |
| 1306953963 | Southeast Texas Freelance Anesthesia PC | Nurse Anesthetist, Certified Registered | 1 Saint Marks Pl, La Grange, TX 78945-1250 | 2006-08-23 |
| 1093734725 | Jennifer M Antone | Nurse Anesthetist, Certified Registered | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2006-07-19 |
| 1023044955 | Soula Karnezis | Nurse Anesthetist, Certified Registered | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2006-06-23 |
| Find all providers in LA GRANGE | ||||
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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.