JANUARY Y EUDY (NPI# 1376871467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376871467 |
| Entity Type | Individual |
| Full Name | JANUARY Y EUDY |
| Credential | CRNA |
| Practice Address |
311 N Clyde Morris Blvd Ste 350 Daytona Beach FL 32114-2781 |
| Practice Telephone | 3864050663 |
| Mailing Telephone | 3864050663 |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 9295428 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
311 N CLYDE MORRIS BLVD STE 350 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933056 | Gary A Wilson | Surgery | 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781 | 2005-06-27 |
| 1699144436 | Diane Santopadre | Nurse Practitioner | 311 N Clyde Morris Blvd, Suite 420, Daytona Beach, FL 32114-2781 | 2015-09-23 |
| 1104207281 | Patricia Gonzalez | Nurse Anesthetist, Certified Registered | 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781 | 2015-06-14 |
| 1881001162 | Kimberly W Stackpole | Physician Assistant | 311 N Clyde Morris Blvd, Suite 320, Daytona Beach, FL 32114-2781 | 2014-07-17 |
| 1871918110 | Jennifer Battani | Nurse Anesthetist, Certified Registered | 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781 | 2014-02-24 |
| 1609111855 | Digon Diabetes and Endocrinology, P.a. | Internal Medicine | 311 N Clyde Morris Blvd, Suite 440, Daytona Beach, FL 32114-2781 | 2012-11-29 |
| 1063719672 | Kimberly Kay Koevenig | Dietitian, Registered | 311 N Clyde Morris Blvd, Suite 440-outpatient Diabetes Education, Halifax Health, Daytona Beach, FL 32114-2781 | 2011-02-16 |
| 1538325238 | Medical Arts Optical Service,inc | Eyewear Supplier (Equipment, not the service) | 311 N Clyde Morris Blvd, Suite 40, Daytona Beach, FL 32114-2781 | 2008-08-01 |
| 1508036419 | Eric Stephen Piazza | Physician Assistant | 311 N Clyde Morris Blvd, Suite 580, Daytona Beach, FL 32114-2781 | 2008-03-06 |
| 1356521140 | Daytona Foot & Ankle Specialists Pa | Podiatrist | 311 N Clyde Morris Blvd, Suite 300, Daytona Beach, FL 32114-2756 | 2007-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1376900738 | Virginia Fernandez Paik | Nurse Anesthetist, Certified Registered | 301 Memorial Medical Pkwy Fl 32117, Daytona Beach, FL 32117-5167 | 2016-01-15 |
| 1396987103 | Melanie Marie Rooney | Nurse Anesthetist, Certified Registered | 311 N Clyde Morris Blvd Ste 350, Daytona Beach, FL 32114-2759 | 2009-03-26 |
| 1518430354 | Troy Kirsten Frazier | Nurse Anesthetist, Certified Registered | 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2019-01-04 |
| 1356811244 | Matthew Evans | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2018-12-04 |
| 1932679503 | Amanda Gonzalez | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-11-27 |
| 1760950026 | Philip Nathanael Augustin | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2018-11-05 |
| 1326582735 | Ryan Vickers | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2016-12-05 |
| 1508216383 | Tamara Thomas | Nurse Anesthetist, Certified Registered | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2016-06-13 |
| 1104286798 | Radhika Maheshkumar Patel | Nurse Anesthetist, Certified Registered | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2016-02-25 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.