JENNIFER PEDERSEN (NPI# 1497086912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497086912 |
| Entity Type | Individual |
| Full Name | JENNIFER PEDERSEN |
| Credential | CRNA |
| Practice Address |
1850 N Central Ave Ste 1600 Phoenix AZ 85004-4633 |
| Mailing Address |
645 E Missouri Ave Ste 300 Phoenix AZ 85012-1351 |
| Practice Telephone | 6022628900 |
| Mailing Telephone | 6022628917 |
| Mailing Fax Number | 6022628890 |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704275352 | MI | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA1062 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 4704275352 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548732027 | Jennifer Pedersen | Physician Assistant | 14314 Canter Trl, Greenville, SC 29609-0964 | 2018-12-21 |
| 1689759383 | Jennifer Elyse Pedersen | Chiropractor | 516 Main Street East, Detroit Lakes, MN 56501 | 2006-10-25 |
| 1831550235 | Jennifer Pedersen | Counselor | 770 Woodlane Road, Mount Holly, NJ 08060 | 2016-03-11 |
| 1720472913 | Jennifer Pedersen | Occupational Therapist | 407 S Main St, Suite 302, Viroqua, WI 54665-2100 | 2015-03-25 |
| 1073606661 | Jennifer R. Pedersen | Internal Medicine | 4321 University Pkwy Ste 101, Evans, GA 30809 | 2006-10-02 |
| 1457467904 | Jennifer Ann Pedersen | Family Medicine | 730 E 34th St, Hibbing, MN 55746-5109 | 2006-08-21 |
| Street Address |
1850 N CENTRAL AVE STE 1600 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609860188 | Huw Owen-reece | Anesthesiology | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2005-09-09 |
| 1811404981 | Preeti Sanga | Registered Nurse | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2018-01-10 |
| 1134636277 | Jon Vincent Skorupski | Registered Nurse | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2018-01-10 |
| 1144737339 | Jennifer Marie Coleman | Nurse Anesthetist, Certified Registered | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2018-01-09 |
| 1801308671 | Patrick Casey Curtis | Nurse Anesthetist, Certified Registered | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2017-11-01 |
| 1487166252 | Briana Marie Curtis | Nurse Anesthetist, Certified Registered | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2017-11-01 |
| 1407367956 | Marcella Stevens | Registered Nurse | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2017-10-23 |
| 1497265979 | Matthew Piccirillo | Registered Nurse | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2017-10-10 |
| 1255850046 | Meagan Elizabeth Gallaher Kozan | Anesthesiology | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2017-09-13 |
| 1598284234 | Matthew Jared Wilkerson | Registered Nurse | 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1477922649 | Cody Birch | Nurse Anesthetist, Certified Registered | 1701 E Colter St Unit 358, Phoenix, AZ 85016-3385 | 2015-09-17 |
| 1073878724 | Jeremy Morales Cachola | Nurse Anesthetist, Certified Registered | 1823 W Sierra Sunset Trl, Phoenix, AZ 85085-8079 | 2012-07-09 |
| 1821377607 | Daniel Justin Chow | Nurse Anesthetist, Certified Registered | 10810 N Tatum Blvd Ste 102718, Phoenix, AZ 85028-6055 | 2011-08-10 |
| 1952638231 | Christol D. Williams | Nurse Anesthetist, Certified Registered | 15251 S 50th St, #2053, Phoenix, AZ 85044-9104 | 2009-11-08 |
| 1366776247 | Ali James Baghai | Nurse Anesthetist, Certified Registered | 15210 N 44th Pl, Phoenix, AZ 85032-4872 | 2009-09-25 |
| Find all providers in PHOENIX | ||||
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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.