CANDICE ELAINE BACON


Address: 200 E Chestnut St, Louisville, KY 40202-1800
Phone: 5026298000

CANDICE ELAINE BACON (NPI# 1417599200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417599200
Entity Type Individual
Full Name CANDICE ELAINE BACON
Credential CRNA
Practice Address 200 E Chestnut St
Louisville
KY 40202-1800
Mailing Address 1404b Lischey Ave
Nashville
TN 37207-5103
Practice Telephone 5026298000
Mailing Telephone 7692187115
Enumeration Date 2019-10-13
Last Update Date 2020-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 203898 TN Nursing Service Providers
Y 367500000X Nurse Anesthetist, Certified Registered 3014174 KY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 E CHESTNUT ST
City LOUISVILLE
State KY
Zip Code 40202-1800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467456384 Sanford Todd Reikes Internal Medicine 200 E Chestnut St, Louisville, KY 40202-1831 2005-06-09
1245845163 Morgan Daffin Psychologist 200 E Chestnut St, Louisville, KY 40202-1831 2020-09-09
1053934612 Kayla N Larosa Psychologist 200 E Chestnut St, Louisville, KY 40202-1831 2020-05-18
1013548973 Kentucky Ob Hospitalist Services Inc Obstetrics & Gynecology 200 E Chestnut St, Louisville, KY 40202-1831 2020-01-30
1003451774 Elizabeth Turcotte Nurse Practitioner 200 E Chestnut St, Louisville, KY 40202-1831 2019-11-16
1972145332 Brenn Philip Arbra Registered Nurse 200 E Chestnut St, Louisville, KY 40202-1831 2019-10-17
1518510965 Katrina Mcneal Nurse Practitioner 200 E Chestnut St, Louisville, KY 40202-1800 2019-07-24
1013569102 Hannah Harris Physician Assistant 200 E Chestnut St, Louisville, KY 40202-1831 2019-07-10
1932768710 Jasmina Keserovic Nurse Anesthetist, Certified Registered 200 E Chestnut St, Louisville, KY 40202-1831 2019-06-06
1427616333 Carly M Coulter Physician Assistant 200 E Chestnut St, Louisville, KY 40202-1831 2019-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528533031 Katherine Berning Nurse Anesthetist, Certified Registered 3022 Eagle Pass, Louisville, KY 40217-1727 2018-10-11
1326559733 Morgan Ann Baumgartle Nurse Anesthetist, Certified Registered Norton Children's Hospital 231 E. Chestnut St, Louisville, KY 40202 2017-10-12
1225385909 Exacta Anesthesia Pllc Nurse Anesthetist, Certified Registered 8809 Linn Station Rd, Louisville, KY 40222-5658 2012-08-13
1740543990 Tiva Oba, L.L.C. Nurse Anesthetist, Certified Registered 4729 Razor Creek Way, Louisville, KY 40299-5533 2012-06-22
1124338579 Kenneth Eugene Doyon Nurse Anesthetist, Certified Registered 601 S Floyd St Ste 407, Louisville, KY 40202-1837 2010-10-19
1508176058 Jaclyn M Johanboeke Nurse Anesthetist, Certified Registered 10207 Springhurst Gardens Cir, Louisville, KY 40241-5194 2010-10-18
1487889143 Sleep Ez Anesthesia Pllc Nurse Anesthetist, Certified Registered 10301 Champion Farms Dr, Louisville, KY 40241-6129 2009-05-26
1700062726 Jake Chris Chang Nurse Anesthetist, Certified Registered 530 S Jackson St Rm C2a03, Louisville, KY 40202-1675 2008-01-22
1205984366 Stanley Ansel Kristiansen Nurse Anesthetist, Certified Registered 1702 Trevilian Way, Louisville, KY 40205-2057 2007-01-08
1841358355 Michael Dewayne Hart Nurse Anesthetist, Certified Registered 16604 Chestnut Glen Pl, Louisville, KY 40245-6121 2006-12-05
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City LOUISVILLE
Zip Code 40202

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Dataset Information

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.

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