MS. PEGGY M ENDRES (NPI# 1407068398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407068398 |
| Entity Type | Individual |
| Full Name | MS. PEGGY M ENDRES |
| Credential | CRNA |
| Practice Address |
5633 N Lidgerwood St Spokane WA 99208-1224 |
| Mailing Address |
3924 S Eastgate Ct Spokane WA 99203-1413 |
| Practice Telephone | 5094822359 |
| Mailing Telephone | 5094564553 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP30004679 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | RNA-670 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | IDAHO PROVIDER NUMBER | 8053187 | 01 |
| Street Address |
5633 N LIDGERWOOD ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881693919 | Mark J Erwin | Physician Assistant | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2005-07-20 |
| 1881247450 | John Landkammer | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2019-07-22 |
| 1669913331 | Hope Tran | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2017-03-15 |
| 1932571080 | Krista Arthur | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2015-10-28 |
| 1700258324 | Taylor Joel Jackson | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208 | 2015-10-22 |
| 1831509561 | Bradley Alice | Emergency Medicine | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2014-05-02 |
| 1457693558 | Joseph Francis Tkacik | Nurse Practitioner | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2013-03-27 |
| 1336445634 | Emergency Physician Services Ps Holy Emergency Center | Emergency Medicine | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2011-02-03 |
| 1447493283 | Anita Marie Tuider | Dietitian, Registered | 5633 N Lidgerwood St, Holy Family Hospital/food & Nutrition Services, Spokane, WA 99208-1224 | 2009-04-09 |
| 1235371675 | Johnny Nguyen Do | Internal Medicine | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2009-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| 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 |
|---|---|---|---|---|
| 1598208399 | Laura Painley | Nurse Anesthetist, Certified Registered | 101 W 8th Ave # Pmg, Spokane, WA 99204-2307 | 2016-11-28 |
| 1467854067 | Sara Vangemert | Nurse Anesthetist, Certified Registered | 3302 E 71st Ave, Spokane, WA 99223-1907 | 2014-09-25 |
| 1386943371 | Royter Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 707 W 21st Ave, Spokane, WA 99203-1948 | 2011-03-16 |
| 1962642751 | John J Fontana | Nurse Anesthetist, Certified Registered | 621 W 21st Ave, Spokane, WA 99203-1946 | 2009-03-06 |
| 1407999261 | Elizabeth Mcbeath-bosch | Nurse Anesthetist, Certified Registered | 5633 N Lidergerwood, Spokane, WA 99208 | 2007-02-14 |
| 1720134323 | Jacqueline Bates | Nurse Anesthetist, Certified Registered | W. 101 Eigth Avenue, Spokane, WA 99204 | 2007-01-26 |
| 1093861775 | Michelle Trytko | Nurse Anesthetist, Certified Registered | 5633 N. Lidergerwood, Spokane, WA 99208 | 2007-01-26 |
| 1912073438 | Jennifer S Havin | Nurse Anesthetist, Certified Registered | 6404 S Latah Hills Ct, Spokane, WA 99224-8530 | 2006-11-27 |
| 1003926304 | Inland Anesthesia Service Ps | Nurse Anesthetist, Certified Registered | 535 S Pine St, Spokane, WA 99202-1347 | 2006-08-30 |
| 1073628251 | Loren Lloyd Starr | Nurse Anesthetist, Certified Registered | 3143 E 29th Ave, Spokane, WA 99223 | 2006-08-20 |
| Find all providers in SPOKANE | ||||
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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.