MR. TREVOR R WILLARDSON


Address: 400 West 16th, Pueblo, CO 81003-2828
Phone: 7195844420

MR. TREVOR R WILLARDSON (NPI# 1437417748) 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) 1437417748
Entity Type Individual
Full Name MR. TREVOR R WILLARDSON
Credential CRNA
Practice Address 400 West 16th
Pueblo
CO 81003-2828
Mailing Address 1218 North Main St.
Pueblo
CO 81003-2828
Practice Telephone 7195844420
Mailing Telephone 7195437877
Mailing Fax Number 7195437882
Enumeration Date 2012-04-25
Last Update Date 2015-07-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered CRA100105 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 400 WEST 16TH
City PUEBLO
State CO
Zip Code 81003-2828

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1518434349 Mariam Rahim Internal Medicine Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-10-30
1003308222 Julia Mcneice Internal Medicine Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 2018-06-04
1689164857 Jessica Sels Internal Medicine Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 2018-05-14
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1245682020 Paul S Bongat Internal Medicine 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 2016-07-06
1013368596 Daniel R Long Internal Medicine 411 West 14th Street, Pueblo, CO 81003 2016-06-27
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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
1336507847 Kyle Tipton Nurse Anesthetist, Certified Registered 4741 Eagleridge Circle, 206, Pueblo, CO 81008 2016-01-29
1245620830 Tori Taylor Nurse Anesthetist, Certified Registered 112 W D St Ste 210-a, Pueblo, CO 81003-3461 2015-02-03
1790979219 Elizabeth Gillum Wentling Nurse Anesthetist, Certified Registered 408 N Main St Fl 2, Pueblo, CO 81003 2007-08-28
1881899755 Serena M. Ackerman Nurse Anesthetist, Certified Registered 400 West 16th Street, Pueblo, CO 81003-2745 2007-06-19
1255432555 Leah Sue Carpenter Nurse Anesthetist, Certified Registered 1218 N Main St, Pueblo, CO 81003-2828 2006-09-26
1598794190 Rex Lawrence Dillehay Nurse Anesthetist, Certified Registered 1828 Chianti Ct, Pueblo, CO 81001-9700 2006-07-03
1740248079 Dena Edmunds Nurse Anesthetist, Certified Registered 112 W D St, Suite 210-a, Pueblo, CO 81003-3461 2006-05-03
1730157595 Craig K Suderman Nurse Anesthetist, Certified Registered 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 2006-03-09
1821607938 Lisa C Carter Nurse Anesthetist, Certified Registered 408 N Main St Fl 2, Pueblo, CO 81003-3123 2020-07-24
1467083881 Erik Matthews Wickstrum Nurse Anesthetist, Certified Registered 400 W 16th St, Pueblo, CO 81003-2781 2020-02-04
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Competitor

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City PUEBLO
Zip Code 81003

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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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