MARY ELIZABETH NICHOLS (NPI# 1518976885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518976885 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH NICHOLS |
| Credential | CRNA, APRN |
| Practice Address |
56 Franklin St Waterbury CT 06706-1221 |
| Mailing Address |
704 Ridge Rd Wethersfield CT 06109-2632 |
| Practice Telephone | 2037096196 |
| Mailing Telephone | 8605295810 |
| Mailing Fax Number | 8605719260 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 000004 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144553074 | Mary A Nichols | Mechanotherapist | 195 - 1st Place N.w., Issaquah, WA 98027 | 2009-09-10 |
| 1407902299 | Mary E Nichols | Nurse Practitioner | 15005 Shady Grove Rd Ste 450, Rockville, MD 20850-6377 | 2007-01-26 |
| 1629032412 | Mary W Nichols | Nurse Practitioner | 76 Veterans Ave Bldg 30 Rm 202, Bath, NY 14810-0810 | 2006-04-17 |
| 1093348476 | Mary Etta Nichols | Case Manager/Care Coordinator | 2231 N Taylor Rd, Cleveland Heights, OH 44112-3044 | 2020-02-13 |
| 1881226355 | Mary L Nichols | Adult Companion | 1035 Portland Ave, Gladstone, OR 97027-2154 | 2020-02-12 |
| 1235789959 | Mary Alvin Nichols | Marriage & Family Therapist | 200 E Del Mar Blvd Ste 210, Pasadena, CA 91105-2551 | 2019-09-14 |
| 1679034813 | Mary Nichols | Behavior Technician | 2075 Lincoln Ave Ste D, San Jose, CA 95125-3513 | 2019-03-29 |
| 1770998189 | Mary Ann Nichols | Counselor | 190 Lime Quarry Rd, Ste #115, Madison, AL 35758-8962 | 2014-06-24 |
| 1437469152 | Mary Nichols | Nurse Practitioner | 1301 Sam Perry Blvd, Fredericksburg, VA 22401-8420 | 2010-10-15 |
| 1447564216 | Mary Lorene Nichols | Marriage & Family Therapist | 451 Lytton Ave, Palo Alto, CA 94301-1535 | 2010-08-03 |
| Street Address |
56 FRANKLIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929379 | Scovill Medical Group, PC | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1221 | 2005-06-01 |
| 1528676459 | Kate Marie Breiner | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-16 |
| 1417575192 | Muhammad Tasawar Latif | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-09 |
| 1013534148 | Syed Mustajab Ahmed | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-06 |
| 1558989681 | Brooj Awan | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-06 |
| 1699398438 | Michelle Lauren Yeung | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-05-27 |
| 1841810967 | Diana Shapoval | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-18 |
| 1235768649 | Sean Michael Burgwardt | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-07 |
| 1043849326 | Miguel Angel Bravo Jr. | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-07 |
| 1053948430 | Bhavya Vemuri | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| 1962881896 | Daniyal Ahmed Ansari | Internal Medicine | 56 Franklin Street, Saint Mary's Hospital, Waterbury, CT 06706 | 2015-05-26 |
| 1164809885 | Vanessa N. Goyes Ruiz | Student in an Organized Health Care Education/Training Program | 56 Franklin Street, Waterbury, CT 06706 | 2015-05-01 |
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| 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 |
|---|---|---|---|---|
| 1093088478 | Brandon H. Mcknight | Nurse Anesthetist, Certified Registered | 140 Grandview Ave Ste 103, Waterbury Anesthesiology Associates, Inc., Waterbury, CT 06708-2518 | 2012-02-16 |
| 1942201264 | Surgi-center Anesthesiologists, P.c | Nurse Anesthetist, Certified Registered | 160 Robbins St, Waterbury, CT 06708-2652 | 2005-08-09 |
| 1851909691 | Andrea Szarkowicz | Nurse Anesthetist, Certified Registered | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2020-07-17 |
| 1386261949 | Dorothy Sliwonik | Nurse Anesthetist, Certified Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2020-06-30 |
| 1134603111 | Kadah Reich | Nurse Anesthetist, Certified Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2018-09-17 |
| 1093213746 | Chantel Starr Pinney | Nurse Anesthetist, Certified Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-01-29 |
| 1700325388 | Christina Young | Nurse Anesthetist, Certified Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2017-02-16 |
| 1316482813 | Moshe Schwarz | Nurse Anesthetist, Certified Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2016-12-20 |
| 1699105460 | Brenda Mclean | Nurse Anesthetist, Certified Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2013-11-15 |
| 1881023273 | Michael R Macchiarolo | Nurse Anesthetist, Certified Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2013-11-06 |
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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.