SB SURGICAL ASSISTANT, LLC (NPI# 1437541620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437541620 |
| Entity Type | Organization |
| Organization Name | SB SURGICAL ASSISTANT, LLC |
| Practice Address |
20659 Bulson Rd Mount Vernon WA 98274-8032 |
| Mailing Address |
Po Box 803 Conway WA 98238-0803 |
| Practice Telephone | 3604453030 |
| Mailing Telephone | 3604453003 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | STACI BOTTLES (OWNER) |
| Authorized Official Telephone | 3604453030 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
RN00110231 | WA | Nursing Service Providers |
| Street Address |
20659 BULSON RD |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-8032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922267921 | Linda M Heller | Registered Nurse | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2008-06-04 |
| 1538294285 | Doris Meadows | Registered Nurse | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588287817 | Kameo Nelson | Registered Nurse | 3329 Upland Ln, Port Angeles, WA 98362-3760 | 2020-05-21 |
| 1376195263 | Olga A Rybakov | Registered Nurse | 230 Grand Road Suite B-2, East Wenatchee, WA 98802-7723 | 2019-07-11 |
| 1023679636 | Elizabeth Ariel Brown | Registered Nurse | 1814 N Aurora Ave, East Wenatchee, WA 98802-4168 | 2019-06-25 |
| 1710402565 | Bentley Richard Everingham | Registered Nurse | 1945 16th Ln Ne, Issaquah, WA 98029-7330 | 2017-08-12 |
| 1275088742 | Stephanie Gaston | Registered Nurse | 8903 52nd Street Ct W, University Place, WA 98467-1763 | 2016-08-24 |
| 1568818748 | Michael Testa | Registered Nurse | 17005 Scandia Ct Nw, Poulsbo, WA 98370-8154 | 2016-05-06 |
| 1407217698 | Elisabeth K Kenoyer, LLC | Registered Nurse | 917 10th St Apt 2, Bellingham, WA 98225-6234 | 2016-03-15 |
| 1639536907 | Jennifer Marie Travis | Registered Nurse | 12018 Clear Lake South Rd E, Eatonville, WA 98328-8300 | 2016-01-18 |
| 1154739662 | Barbara Ann Budinsky | Registered Nurse | 14561 Cavalli Rd Se, Olalla, WA 98359-7516 | 2014-07-28 |
| 1669719837 | Victoria Rice Bean | Registered Nurse | 18329 Wallingford Ave N, Shoreline, WA 98133-4632 | 2013-01-08 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.