ELIZABETH LEE NICHOLSON (NPI# 1417220252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417220252 |
| Entity Type | Individual |
| Full Name | ELIZABETH LEE NICHOLSON |
| Credential | CRNA |
| Practice Address |
3636 N Belt W Belleville IL 62226-5947 |
| Mailing Address |
1428 Clifton Way Ct O Fallon IL 62269-7394 |
| Practice Telephone | 6182335050 |
| Mailing Telephone | 6189773784 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2016-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209.009368 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962952259 | Elizabeth Nicholson | Speech-Language Pathologist | 915 Rosedale Rd Ne, Lower Unit, Atlanta, GA 30306-4827 | 2016-10-11 |
| 1750403408 | Elizabeth J Nicholson | Rehabilitation Counselor | 227 W Country Dr, Bartlett, IL 60103-4674 | 2007-04-04 |
| 1245262229 | Elizabeth Demos Nicholson | Emergency Medicine | 5121 S. Cottonwood Street, Salt Lake City, UT 84157 | 2006-07-07 |
| 1366059321 | Elizabeth Nicholson | Speech-Language Pathologist | 2701 Chestnut Station Ct, Louisville, KY 40299-6395 | 2020-09-24 |
| 1336497429 | Elizabeth Nicholson | Speech-Language Pathologist | 953 High St, Victor, NY 14564-1168 | 2012-08-21 |
| 1497074124 | Elizabeth Nicholson | Psychiatry & Neurology | 501 Billingsley Rd, Ste B, Charlotte, NC 28211-1009 | 2010-05-20 |
| 1245558964 | Elizabeth A Nicholson | Social Worker | 1913 Smith Ave, Thomasville, GA 31792-5751 | 2010-05-05 |
| 1700919867 | Elizabeth Nicholson | Psychologist | 6610 Se Quakervale Rd, Riverton, KS 66770-4185 | 2007-03-14 |
| 1871689190 | Elizabeth A Nicholson | Physician Assistant | 550 N University Blvd, Indianapolis, IN 46202-5149 | 2006-10-05 |
| Street Address |
3636 N BELT W |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| 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 |
|---|---|---|---|---|
| 1598215451 | Rebecca Tulik | Nurse Anesthetist, Certified Registered | 49187 Peninsular Dr, Belleville, MI 48111-4977 | 2016-10-04 |
| 1568635605 | Julianna M Peters | Nurse Anesthetist, Certified Registered | 2608 Fairway Dr, Belleville, IL 62220-4864 | 2008-04-09 |
| 1932141561 | Anesthesia Associates of Belleville | Nurse Anesthetist, Certified Registered | 4500 Memorial Drive, Anesthesia Dept, Belleville, IL 62223 | 2006-06-11 |
| 1235115759 | Loy Neal Patterson Jr. | Nurse Anesthetist, Certified Registered | 311 West Lincoln, Suite 300, Belleville, IL 62220-1921 | 2005-12-16 |
| 1679561690 | Marcia Ann Becker | Nurse Anesthetist, Certified Registered | 311 W. Lincoln, Suite 300, Robert Hellman Md, LLC, Belleville, IL 62220-1902 | 2005-10-13 |
| 1841815784 | Kayla Marie Tisza | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-06-16 |
| 1588289581 | Katie O'rourke | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-06-15 |
| 1629639695 | Nicholas Raburn | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2019-06-21 |
| 1598255937 | Carrie L Hasenstab | Nurse Anesthetist, Certified Registered | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2018-05-10 |
| 1609395086 | Mamie Jenneh Bayoh | Nurse Anesthetist, Certified Registered | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2017-09-17 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
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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.