JESSICA ALTHAUS (NPI# 1356877401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356877401 |
| Entity Type | Individual |
| Full Name | JESSICA ALTHAUS |
| Practice Address |
205 North East Avenue Anesthesia Department Jackson MI 49201 |
| Mailing Address |
1742 Cedar Ln Ann Arbor MI 48105-9272 |
| Practice Telephone | 5172054963 |
| Mailing Telephone | 7342559947 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704278645 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16001 W 9 Mile Rd, Southfield, MI 480754818 | 2488493000 | |
| 47601 Grand River Ave, Novi, MI 483741233 | 2484654100 |
| Street Address |
205 NORTH EAST AVENUE ANESTHESIA DEPARTMENT |
| City | JACKSON |
| State | MI |
| Zip Code | 49201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225003957 | Paula Marie Novelli | Specialist | 205 North East Avenue, Imaging Services - H.f. Allegiance Health, Jackson, MI 49201 | 2006-02-17 |
| 1114457991 | Nicholas Anthony Camilleri | Nurse Anesthetist, Certified Registered | 205 North East Avenue, Anesthesia Department, Jackson, MI 49201 | 2017-06-14 |
| 1316471535 | Nicole Antonia Moreno | Nurse Anesthetist, Certified Registered | 205 North East Avenue, Anesthesia Department, Jackson, MI 49201 | 2017-04-13 |
| 1700136520 | Independent Emergency Physicians P.C. | Physician Assistant | 205 North East Avenue, Emergency Department, Jackson, MI 49201 | 2012-09-19 |
| 1922170943 | Judith A Bolton | Nurse Anesthetist, Certified Registered | 205 North East Avenue, Jackson, MI 49201-1753 | 2006-11-14 |
| 1093885071 | Ruth Ann Deilus | Nurse Anesthetist, Certified Registered | 205 North East Avenue, Jackson, MI 49201-1753 | 2006-11-08 |
| 1215007299 | Susan Marie Whitbread | Nurse Anesthetist, Certified Registered | 205 North East Avenue, Jackson, MI 49201-1753 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| 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 |
|---|---|---|---|---|
| 1295232304 | Trumania Inc | Nurse Anesthetist, Certified Registered | 223 Clinton Rd Ste 204, Jackson, CA 95642-2680 | 2018-04-06 |
| 1902287501 | Timothy Parrish | Nurse Anesthetist, Certified Registered | 27 Red Deer Cv, Jackson, TN 38305-6485 | 2015-06-09 |
| 1821345398 | Denicia Maria Rankin | Nurse Anesthetist, Certified Registered | 88 Boyd Dr, Jackson, TN 38305-2152 | 2012-08-14 |
| 1437425717 | Sheela Federici | Nurse Anesthetist, Certified Registered | 545 Rutledge St, Jackson, MI 49203-1113 | 2012-03-30 |
| 1164611240 | Yvette George | Nurse Anesthetist, Certified Registered | 105 F Stonebrook Pl, Jackson, TN 38305 | 2007-10-15 |
| 1194843110 | Patricia Lynn Koprivica | Nurse Anesthetist, Certified Registered | 5919 Amber, Jackson, MI 49201-8389 | 2007-03-27 |
| 1215055454 | Eunai Danek | Nurse Anesthetist, Certified Registered | 2571 Cascade Creek Dr, Jackson, MI 49203-3771 | 2007-03-26 |
| 1508950064 | Mark Combs | Nurse Anesthetist, Certified Registered | 205 North East Ave, Anesthesia Department, Jackson, MI 49201 | 2006-10-02 |
| 1972696516 | Lisa Thompson Jackson | Nurse Anesthetist, Certified Registered | 1500 E. Woodrow Wilson, Jackson, MS 39216 | 2006-10-02 |
| 1932292596 | James Gerard Brown | Nurse Anesthetist, Certified Registered | Foote Hosp., 205 North East Avenue, Jackson, MI 49201-1753 | 2006-10-02 |
| Find all providers in JACKSON | ||||
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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.