SUSAN ANNICELLI (NPI# 1457418071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457418071 |
| Entity Type | Individual |
| Full Name | SUSAN ANNICELLI |
| Credential | CRNA |
| Practice Address |
Usa Meddac, Rwbahc 2240e. Winrow Ave Fort Huachuca AZ 85613-7079 |
| Mailing Address |
1518 Grierson Ave Fort Huachuca AZ 85613 |
| Practice Telephone | 5205339026 |
| Mailing Telephone | 5205339026 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 108867 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
USA MEDDAC, RWBAHC 2240E. WINROW AVE |
| City | FORT HUACHUCA |
| State | AZ |
| Zip Code | 85613-7079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982644456 | Barbara Gaye Caldwell | Registered Nurse | Usa Meddac, Rwbahc, 2240 E. Winrow Ave, Fort Huachuca, AZ 85613-7079 | 2006-06-06 |
| 1437601655 | Hanna Betts | Registered Nurse | Usa Meddac, Rwbahc, 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2016-11-04 |
| 1083073746 | Lisa Mueller | Registered Nurse | Usa Meddac, Rwbahc, 2240 Winrow Ave, Fort Huachuca, AZ 85650-7079 | 2016-02-23 |
| 1093041972 | Raul Valenzuela | Pharmacist | Usa Meddac, Rwbahc, 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2009-10-27 |
| 1295947976 | Deanna Jean Patterson | Nurse Practitioner | Usa Meddac, Rwbahc, 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2007-05-04 |
| 1538202593 | Donna Lee Deyoung | Pharmacist | Usa Meddac, Rwbahc, 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2007-02-15 |
| 1023175973 | Janet Barber | Counselor | Usa Meddac, Rwbahc, 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2007-01-02 |
| 1881776201 | William Collazo-nunez | Pediatrics | Usa Meddac, Rwbahc, 2240 E. Winrow Ave., Attn: Mcxj-credentials, Fort Huachuca, AZ 85613-7079 | 2006-10-19 |
| 1356431068 | John J Michelich | Pharmacist | Usa Meddac, Rwbahc, 2240 Winrow Ave, Fort Huachuca, AZ 85613 | 2006-10-13 |
| 1114960176 | Kathleen Archer | Licensed Practical Nurse | Usa Meddac, Rwbahc, 2240 E. Winrow Ave, Fort Huachuca, AZ 85613-7079 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457713794 | Robert Lee Kent Jr. | Registered Nurse | 2240 East Winrow Avenue, Fort Huachuca, AZ 85613 | 2016-03-25 |
| 1548628662 | George Fauber | Licensed Practical Nurse | 224 Winrow Ave, Usa Meddac, Rwbahc, Ft Huachuca, AZ 85613 | 2016-02-03 |
| 1013207810 | Gerald Michael Pastore | Counselor | 2240 Winrow Ave Fort Huachuca, Az, Usa Meddac, Rwbahc, Apo, AA 85613 | 2011-04-13 |
| 1306049895 | Raymond W. Bliss Army Health Center | Clinic/Center | 45005 Arizona Street, Fort Huachuca, AZ 85613 | 2007-06-11 |
| 1477617124 | Raymond W. Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2w Bliss Army Health Center 45001, Ft Huachuca, AZ 85613 | 2006-12-20 |
| 1114026150 | Raymond W Bliss Army Health Center | Military/U.S. Coast Guard Pharmacy | 2 W Bliss Army Health Ctr, Bldg 45001, Ft Huachuca, AZ 85613 | 2006-09-22 |
| 1013931484 | Mark Allen Hendrickson | Internal Medicine | Rwbahc, Bldg 45001, Sierra Vista Cboc, Ft Huachuca, AZ 85613 | 2006-07-27 |
| 1972538973 | Gail Pielack | Nurse Practitioner | Rwbahc, 2240 Winrow Rd, Fort Huachuca, AZ 85613 | 2006-07-11 |
| 1093755233 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Optical Center, Bldg 52030, Ft. Huachuca, AZ 85613 | 2006-06-07 |
| 1336119395 | Eric Nmi Danko | Dentist | 2240 E. Winrow Ave, Us Army Dental Activity, Fort Huachuca, AZ 85613 | 2006-01-24 |
| Find all providers in zip 85613 | ||||
| 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 |
|---|---|---|---|---|
| 1740895994 | Kelli Dee Gleason | Nurse Anesthetist, Certified Registered | 8339 E Vista Dr, Scottsdale, AZ 85250-7321 | 2020-09-14 |
| 1164032249 | John Durkin | Nurse Anesthetist, Certified Registered | 2000 E Southern Ave Ste 105, Tempe, AZ 85282-7510 | 2020-08-04 |
| 1376182758 | Native Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2747 E University Dr, Mesa, AZ 85213-8437 | 2020-01-02 |
| 1003453408 | Kevin L Olena Crna, Pllc | Nurse Anesthetist, Certified Registered | 3432 E Georgia Ave, Phoenix, AZ 85018-1501 | 2019-12-04 |
| 1144863549 | As Needed Anesthesia | Nurse Anesthetist, Certified Registered | 4045 E Bell Rd Ste 127, Phoenix, AZ 85032-2234 | 2019-10-18 |
| 1740831775 | Jared Thirjung | Nurse Anesthetist, Certified Registered | 1718 W Colter St Unit 172, Phoenix, AZ 85015-2955 | 2019-09-20 |
| 1376001925 | Kevin Lee | Nurse Anesthetist, Certified Registered | 305 N Martin Ave, Tucson, AZ 85721-0001 | 2019-03-03 |
| 1669959235 | Erin Galligan | Nurse Anesthetist, Certified Registered | 1501 N Campbell, Tucson, AZ 85721-0001 | 2018-07-25 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1144748906 | Mountain West Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 20940 N Tatum Blvd Ste 100, Phoenix, AZ 85050-7259 | 2017-08-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT HUACHUCA |
| Zip Code | 85613 |
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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.