MRS. KELLIE MARIE CARDENAS (NPI# 1508360991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508360991 |
| Entity Type | Individual |
| Full Name | MRS. KELLIE MARIE CARDENAS |
| Credential | CRNA |
| Practice Address |
1800 Se Tiffany Ave Port Saint Lucie FL 34952 |
| Mailing Address |
178 Sw Glenwood Dr Port Saint Lucie FL 34984-5025 |
| Practice Telephone | 7723354000 |
| Mailing Telephone | 7722404188 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN9341938 | FL | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9341938 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1800 SE TIFFANY AVE |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457970410 | Katia Vernord | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2020-04-10 |
| 1033746094 | John Tyler Martin | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2020-03-26 |
| 1235791906 | Meredith Hutchens | Nurse Practitioner | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2019-07-02 |
| 1851850663 | Sahyly Hernandez | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2019-03-19 |
| 1225534803 | Shelby Lynn Guile | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2018-04-03 |
| 1750887626 | Lam Duy Tran | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2018-04-01 |
| 1629593462 | Koiesha Molme | Registered Nurse | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2017-08-12 |
| 1013366640 | Michael Gulenay | Emergency Medicine | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2016-06-04 |
| 1497181556 | Saint Lucie Medical Center | General Acute Care Hospital | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2013-09-20 |
| 1073952057 | Michael Steven Capezzuto | Nurse Practitioner | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 2013-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| 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 |
|---|---|---|---|---|
| 1669869533 | Lauren Renee Snoots | Nurse Anesthetist, Certified Registered | 2846 Se Eagle Dr, Port Saint Lucie, FL 34984-6319 | 2015-04-18 |
| 1588799241 | Lester Lee Jefferson Jr. | Nurse Anesthetist, Certified Registered | 1718 Sw Mockingbird Dr, Port Saint Lucie, FL 34986-2045 | 2007-02-22 |
| 1174554372 | Danielle Lyn Rudoff-perez | Nurse Anesthetist, Certified Registered | 1874 Se Port Saint Lucie Blvd, Anesthesia Department, Port Saint Lucie, FL 34952-5545 | 2006-07-05 |
| 1578836169 | Robert A Dudley, C.r.n.a., P.a. | Nurse Anesthetist, Certified Registered | 1715 Se Tiffany Ave, Port Saint Lucie, FL 34952-7520 | 2012-02-14 |
| 1063785657 | James Thomas Brown, Jr., Crna, Ms, P.a. | Nurse Anesthetist, Certified Registered | 1715 Se Tiffany Ave, Port Saint Lucie, FL 34952-7520 | 2012-02-14 |
| 1285907881 | William P.j. Yetman Crna, Pa | Nurse Anesthetist, Certified Registered | 1715 Se Tiffany Ave, Port Saint Lucie, FL 34952-7520 | 2012-02-14 |
| 1275736514 | Maureen Bosco | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5545 | 2007-06-06 |
| 1043243710 | Suzanne E Mininger | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5545 | 2006-07-08 |
| 1114965464 | Tamala D Parsons | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5545 | 2006-06-02 |
| 1184662447 | Charles David Reams | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5545 | 2006-06-02 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34952 |
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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.