WATAUGA MEDICAL CENTER INC (NPI# 1548335581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548335581 |
| Entity Type | Organization |
| Organization Name | WATAUGA MEDICAL CENTER INC |
| Other Organization Name | WATAUGA MEDICAL CENTER CRNA |
| Practice Address |
336 Deerfield Rd Boone NC 28607-5008 |
| Mailing Address |
155 Furman Rd Suite 101 Boone NC 28607-5049 |
| Practice Telephone | 8282624100 |
| Practice Fax Number | 8282624157 |
| Mailing Telephone | 8282624438 |
| Mailing Fax Number | 8282624157 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | MS. MARY ETTA LONG (SR VP MEDICAL STAFF RELATIONS) |
| Authorized Official Telephone | 8282624133 |
| Is Organization Subpart | Y |
| Parent Organization Name | APPALACHIAN REGIONAL HEALTHCARE SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS CRNA | 07630 | 01 |
| NC | 8907630 | 05 |
| Other Name | Type Code |
|---|---|
| Watauga Medical Center CRNA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268324 | Watauga Medical Center Inc | Pediatrics | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-06-05 |
| 1265068027 | Watauga Medical Center Inc | Psychiatry & Neurology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-03-12 |
| 1861031544 | Watauga Medical Center Inc | Internal Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2019-12-30 |
| 1336215821 | Watauga Medical Center Inc | Surgery | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-11-27 |
| 1861567893 | Watauga Medical Center Inc | Radiology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-11-22 |
| 1205859766 | Watauga Medical Center Inc | Internal Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-07-25 |
| Street Address |
336 DEERFIELD RD |
| City | BOONE |
| State | NC |
| Zip Code | 28607-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556116 | Michael Francis Minogue | Emergency Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2005-05-26 |
| 1477152379 | Regan Early | Counselor | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-10-21 |
| 1093323321 | Sara Elizabeth Willis | Pharmacist | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-07-22 |
| 1386268324 | Watauga Medical Center Inc | Pediatrics | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-06-05 |
| 1265068027 | Watauga Medical Center Inc | Psychiatry & Neurology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-03-12 |
| 1164056537 | Jessica Lucero | Nurse Practitioner | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-02-25 |
| 1861031544 | Watauga Medical Center Inc | Internal Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2019-12-30 |
| 1861047672 | Amber Oliver Stern | Nurse Practitioner | 336 Deerfield Rd, Boone, NC 28607-5008 | 2019-08-08 |
| 1477115517 | Paige Leigh Harris | Social Worker | 336 Deerfield Rd, Boone, NC 28607-5008 | 2019-06-28 |
| 1992203152 | Christopher Anthony Santos | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2018-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
| Find all providers in zip 28607 | ||||
| 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 |
|---|---|---|---|---|
| 1942373204 | Kenneth Joel Thompson | Nurse Anesthetist, Certified Registered | 336 Deerfield Road, Boone, NC 28607 | 2006-11-16 |
| 1053348524 | Richard L Woods | Nurse Anesthetist, Certified Registered | 193 Valley Stran Dr, Boone, NC 28607-8890 | 2006-06-28 |
| 1194788380 | Deborah Joyce Flaherty | Nurse Anesthetist, Certified Registered | 376 Deerfield Forest Pkwy, Boone, NC 28607-8409 | 2006-04-09 |
| 1992203152 | Christopher Anthony Santos | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2018-01-23 |
| 1891169082 | Lauren E Brown | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2015-11-25 |
| 1871916122 | Colleen Sharkey | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2014-01-22 |
| 1952746497 | Yee Ling Kwan | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2013-05-09 |
| 1992027239 | Lisa Christian Nethery | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2010-02-26 |
| 1689725285 | Steven Timothy Meyer | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2007-01-12 |
| 1942316674 | Larry D Lee | Nurse Anesthetist, Certified Registered | 1015 Union St, Boone, IA 50036-4821 | 2006-08-23 |
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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.