EILEEN M CHANNEL (NPI# 1497831580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497831580 |
Entity Type | Individual |
Full Name | EILEEN M CHANNEL |
Credential | CRNA |
Practice Address |
323 S Minnesota St Crookston MN 56716-1601 |
Practice Telephone | 2182819200 |
Practice Fax Number | 2182819224 |
Mailing Telephone | 2182819200 |
Mailing Fax Number | 2182819224 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2014-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | R 148885-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | LICENSE | R 148885-4 | 01 |
Street Address |
323 S MINNESOTA ST |
City | CROOKSTON |
State | MN |
Zip Code | 56716-1601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164492716 | Lance Michael Norman | Occupational Therapist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2006-01-25 |
1538786207 | Forrest Laporte | Nurse Practitioner | 323 S Minnesota St, Crookston, MN 56716-1601 | 2020-06-29 |
1003437369 | Samantha Brentrup | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2020-04-28 |
1275091282 | Kelsey Billing | Registered Nurse | 323 S Minnesota St, Crookston, MN 56716-1601 | 2019-03-08 |
1174008288 | Maen Abou-ghaida | Orthopaedic Surgery | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-25 |
1417430588 | Monica Annette Wells | Registered Nurse | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-13 |
1043799612 | Braydon Gourneau | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-14 |
1952880668 | Shelby Knott | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-13 |
1740769090 | Christine Jane Loff | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716 | 2018-08-08 |
1194204610 | Rhonda June Salentiny | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
1255498564 | Ind School District 593 | Local Education Agency (LEA) | 402 Fisher Ave, Crookston, MN 56716 | 2007-01-03 |
1821109422 | Marla Rae Love | Dietitian, Registered | 400 S Minnesota Street, Crookston, MN 56716 | 2006-08-31 |
1508835133 | Northwestern Mental Health Center | Clinic/Center | 603 Bruce St, Crookston, MN 56716 | 2006-03-16 |
1215932728 | Villa St. Vincent | Skilled Nursing Facility | 516 Walsh St, Crookston, MN 56716 | 2005-06-21 |
1821533035 | Lauren Shalane Wagendorf | Counselor | 603 Bruce St, Crookston, MN 56716 | 2016-12-23 |
1336594449 | Lesmeister Dental LLC | Dentist | 1726 University Ave, Crookston, MN 56716 | 2016-04-26 |
1114270550 | William T Erickson | Dentist | 1726 University Ave, Crookston, MN 56716 | 2012-10-23 |
Find all providers in zip 56716 |
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 |
---|---|---|---|---|
1043759913 | Tyler Scott | Nurse Anesthetist, Certified Registered | 323 S Minnesota St, Crookston, MN 56716-1601 | 2017-02-13 |
1659820116 | Casey Wangen | Nurse Anesthetist, Certified Registered | 323 S Minnesota St, Crookston, MN 56716-1601 | 2016-09-26 |
1376871475 | Brent Allen Kaiser | Nurse Anesthetist, Certified Registered | 323 S Minnesota St, Crookston, MN 56716-1601 | 2009-12-01 |
1437345295 | Jeremy Joseph Eversvik | Nurse Anesthetist, Certified Registered | 323 S Minnesota St, Crookston, MN 56716-1601 | 2007-09-14 |
1851408413 | Gregory H Reese | Nurse Anesthetist, Certified Registered | 323 S Minnesota St, Crookston, MN 56716-1601 | 2006-08-23 |
1932216579 | Eric B Roed | Nurse Anesthetist, Certified Registered | 323 S Minnesota St, Crookston, MN 56716-1601 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285241364 | Jl Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 13359 Isle Dr Ste 1, Baxter, MN 56425-2223 | 2020-09-23 |
1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
1699306100 | Westpacific Westpac Anesthesia-anesthesia Consultants of Minnesot | Nurse Anesthetist, Certified Registered | 9825 Hospital Dr Ste 203, Maple Grove, MN 55369-4772 | 2020-02-03 |
1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
1952946501 | Wyn Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 991 Sibley Memorial Hwy Ste 202, Saint Paul, MN 55118-5116 | 2019-11-07 |
1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
1154894202 | Amy Elizabeth Engstrom | Nurse Anesthetist, Certified Registered | 1411 Premier Dr, Mankato, MN 56001-6076 | 2019-01-10 |
1215410311 | Hali Jean Haukos | Nurse Anesthetist, Certified Registered | 640 Jackson St - Mail Stop 13901c, Saint Paul, MN 55101-2502 | 2018-09-13 |
1154814580 | Ams Minn Pllc | Nurse Anesthetist, Certified Registered | 13601 80th Cir N Ste 100, Maple Grove, MN 55369-8906 | 2018-06-11 |
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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.