CANDACE M. PRATT (NPI# 1477754240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477754240 |
| Entity Type | Individual |
| Full Name | CANDACE M. PRATT |
| Credential | CRNA |
| Practice Address |
111 S. 11th Street Suite 8490 Philadelphia PA 19107-4824 |
| Practice Telephone | 2159556161 |
| Practice Fax Number | 2159235507 |
| Mailing Telephone | 2159556161 |
| Mailing Fax Number | 2159235507 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2016-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN345875L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 S. 11TH STREET SUITE 8490 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730135393 | Voichita Bar Ad | Radiology | 111 S. 11th Street, Bodine Center Jefferson Radiation Oncology Associates, Philadelphia, PA 19107 | 2006-05-25 |
| 1245774363 | Kristin Schrenzel | Registered Nurse | 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824 | 2016-12-08 |
| 1346793767 | Deanna D. Bissell | Nurse Anesthetist, Certified Registered | 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4822 | 2016-08-02 |
| 1841686169 | Andrew Song | Student in an Organized Health Care Education/Training Program | 111 S. 11th Street, Bodine Center G301, Philadelphia, PA 19107-4824 | 2015-04-14 |
| 1245624345 | Gregor Manukian | Student in an Organized Health Care Education/Training Program | 111 S. 11th Street, Bodine Center G301, Philadelphia, PA 19107-4824 | 2015-03-26 |
| 1588071211 | Francis J Anderson Jr. | Nurse Anesthetist, Certified Registered | 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824 | 2014-07-15 |
| 1437495066 | Marilyn M Piemontese | Nurse Anesthetist, Certified Registered | 111 S. 11th Street, Suite 8490, Philadelphia, PA 19107-4824 | 2012-12-31 |
| 1538425921 | Erica Border John | Anesthesiology | 111 S. 11th Street, Suite 8490, Philadelphia, PW 19107-4824 | 2012-04-10 |
| 1114217338 | Ripal H. Patel | Emergency Medicine | 111 S. 11th Street, Philadelphia, PA 19107-4824 | 2011-04-08 |
| 1942521505 | Allison Leigh Tan | Radiology | 111 S. 11th Street, Suite 3390, Philadelphia, PA 19107-4824 | 2010-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| 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 |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1184139248 | Sean Hanna | Nurse Anesthetist, Certified Registered | 736 Pine St Unit C, Philadelphia, PA 19106-4005 | 2017-12-11 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1174900591 | Gregory J Nordick | Nurse Anesthetist, Certified Registered | 1035 Lombard St # 10, Philadelphia, PA 19147-1262 | 2015-05-05 |
| 1003200809 | Joseph Clair | Nurse Anesthetist, Certified Registered | 1719 Spruce St Apt 4, Philadelphia, PA 19103-6135 | 2015-03-19 |
| 1033521406 | Anne Patricia Gibson | Nurse Anesthetist, Certified Registered | 1222 Arch St, Apt. # 508, Philadelphia, PA 19107-2816 | 2014-05-20 |
| 1326480484 | Anne James Anithottam | Nurse Anesthetist, Certified Registered | 9770 Susan Rd, Philadelphia, PA 19115-2928 | 2013-07-17 |
| 1598002008 | Greg Pedegana | Nurse Anesthetist, Certified Registered | 785 N Judson St, Philadelphia, PA 19130-2507 | 2013-01-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.