MR. JEREMY CARLISLE (NPI# 1437398229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437398229 |
| Entity Type | Individual |
| Full Name | MR. JEREMY CARLISLE |
| Other Name | MR. JEREMY CARLISLE |
| Credential | CRNA |
| Practice Address |
209 Health Park Dr Libby MT 59923-2001 |
| Practice Telephone | 4062837000 |
| Mailing Telephone | 4062837000 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2017-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 37444 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
209 HEALTH PARK DR |
| City | LIBBY |
| State | MT |
| Zip Code | 59923-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952312050 | St. John's Lutheran Hospital, Inc. | General Acute Care Hospital | 209 Health Park Dr, Libby, MT 59923-2001 | 2006-08-11 |
| 1740448091 | Kimberly Anne Umscheid | Physical Therapist | 209 Health Park Dr, Libby, MT 59923-2001 | 2008-05-22 |
| 1588720882 | St. John's Lutheran Hospital, Inc. | Medicare Defined Swing Bed Unit | 209 Health Park Dr, Libby, MT 59923-2001 | 2006-12-29 |
| 1356437032 | Debra Lynn Sharp | Nurse Anesthetist, Certified Registered | 209 Health Park Dr, Libby, MT 59923-2001 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504596 | Office of Randy Guinard, Lcsw LLC | Social Worker | 703 California Avenue, Libby, MT 59923 | 2019-12-09 |
| 1952641615 | Kristi Lynn Lovejoy | Massage Therapist | 952 E Spruce, Libby, MT 59923 | 2013-02-18 |
| 1891943981 | Rita Haidle Billow | Psychologist | 320 E. 2nd Street, Libby, MT 59923 | 2008-09-03 |
| 1225229347 | Mark Serra | Emergency Medicine | 350 Louisiana Avenue, Libby, MT 59923 | 2007-08-05 |
| 1992910319 | Joel A Riddel | Chiropractor | 1115 Minnesota Ave, Libby, MT 59923 | 2007-05-10 |
| 1184743056 | Carol J. Kelly | Counselor | 1469 Highway 2 South, Libby, MT 59923 | 2007-03-29 |
| 1578696464 | Robert Hanley | Counselor | 711 California Avenue, Libby, NE 59923 | 2007-03-13 |
| 1851463947 | Steven L Sorensen | Optometrist | 422 Louisiana Ave, Libby, MT 59923 | 2006-11-14 |
| 1295823979 | Clyde Allen Knecht | Family Medicine | 403 Utah Ave, Libby, MT 59923 | 2006-10-10 |
| 1982717625 | Fisher River Volunteer Fire Company | Ambulance | 100 West Camp Road, Libby, MT 59923 | 2006-08-16 |
| Find all providers in zip 59923 | ||||
| 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 |
|---|---|---|---|---|
| 1437266632 | Mark Alan Edwards | Nurse Anesthetist, Certified Registered | 350 Louisiana Ave, Libby, MT 59923-2130 | 2006-08-24 |
| 1225167042 | Loren Clausen | Nurse Anesthetist, Certified Registered | 350 Louisiana Ave, Libby, MT 59923-2130 | 2007-03-05 |
| 1356437032 | Debra Lynn Sharp | Nurse Anesthetist, Certified Registered | 209 Health Park Dr, Libby, MT 59923-2001 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558733709 | M & M Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 3207 Augusta Ave, Butte, MT 59701-4405 | 2015-10-28 |
| 1316374820 | Marcus Jay Wilsey | Nurse Anesthetist, Certified Registered | 9589 Highway 2 East, Martin City, MT 59926 | 2013-09-28 |
| 1205103306 | Spectrum Anesthesia & Pain Management Services, S.c. | Nurse Anesthetist, Certified Registered | 1739 Spring Creek Lane Suite 100, Billings, MT 59102 | 2011-11-18 |
| 1750601423 | Tana M Taylor | Nurse Anesthetist, Certified Registered | 2111 Garfield St, Anaconda, MT 59711-1719 | 2010-06-04 |
| 1194907543 | Tara Munroe | Nurse Anesthetist, Certified Registered | 925 Highland Blvd Ste 1180, Bozeman, MT 59715-6905 | 2007-11-28 |
| 1922147693 | William Mark Higgs | Nurse Anesthetist, Certified Registered | 430 Fleshman Creek Rd, Livingston, MT 59047-1536 | 2007-02-06 |
| 1811918998 | Tobacco Root Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 7 Vandolah Rd, Three Forks, MT 59752-8673 | 2006-07-22 |
| 1710903554 | Daniel Richard Mattson | Nurse Anesthetist, Certified Registered | 3111 Avenue E, Billings, MT 59102-6548 | 2006-07-14 |
| 1396778569 | Grant Palm | Nurse Anesthetist, Certified Registered | 320 Alpenglow Lane, Livingston, MT 59047 | 2006-07-09 |
| 1750313847 | Todd Armstrong Armstrong | Nurse Anesthetist, Certified Registered | 512 N Center Ave, Miles City, MT 59301-2602 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
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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.