ELISA RAE TWIDWELL


Address: 4901 Grande Dr, Pensacola, FL 32504-5935
Phone: 8504777042

ELISA RAE TWIDWELL (NPI# 1568602100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568602100
Entity Type Individual
Full Name ELISA RAE TWIDWELL
Credential CRNA
Practice Address 4901 Grande Dr
Pensacola
FL 32504-5935
Practice Telephone 8504777042
Practice Fax Number 8504749060
Mailing Telephone 8504777042
Mailing Fax Number 8504749060
Enumeration Date 2009-02-23
Last Update Date 2011-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered ARNP9287076 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE RAILROAD P00766789 01
FL 000897800 05
AL 108854 05
AL BLUE CROSS BLUE SHIELD 592-06461 01
FL BLUE CROSS BLUE SHIELD G4787 01

Office Location

Street Address 4901 GRANDE DR
City PENSACOLA
State FL
Zip Code 32504-5935

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043211600 Quaison N Alleyne Anesthesiology 4901 Grande Dr, Pensacola, FL 32504-5935 2005-08-04
1932633765 Jennifer Covalt Nurse Anesthetist, Certified Registered 4901 Grande Dr, Pensacola, FL 32504-5935 2017-04-19
1750822458 Stacey Hardy Nurse Anesthetist, Certified Registered 4901 Grande Dr, Pensacola, FL 32504-5935 2017-03-14
1669910949 Michael Tillman Nurse Anesthetist, Certified Registered 4901 Grande Dr, Pensacola, FL 32504-5935 2017-02-07
1700321387 Jaclyn Burleson Nurse Anesthetist, Certified Registered 4901 Grande Dr, Pensacola, FL 32504-5935 2017-01-05
1407245871 Scot Brazell Nurse Anesthetist, Certified Registered 4901 Grande Dr, Pensacola, FL 32504-5935 2015-01-22
1316349863 Margaret M White Nurse Anesthetist, Certified Registered 4901 Grande Dr, Pensacola, FL 32504-5935 2014-09-16
1295134096 Robbie Dawn Whybrew Nurse Anesthetist, Certified Registered 4901 Grande Dr, Pensacola, FL 32504-5935 2014-08-18
1437571866 Abigail Moore Nurse Anesthetist, Certified Registered 4901 Grande Dr, Pensacola, FL 32504-5935 2014-01-21
1376965996 Niki Bird Nurse Anesthetist, Certified Registered 4901 Grande Dr, Pensacola, FL 32504-5935 2014-01-16
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184262123 Paul Andrew Valentine Nurse Anesthetist, Certified Registered 4018 Embers Lndg, Pensacola, FL 32505-3434 2019-12-19
1316304736 Jeri Rose Chandler Nurse Anesthetist, Certified Registered 7477 Farmers Rd, Pensacola, FL 32526-3223 2016-01-16
1891092516 Nathaniel Robert Clark Nurse Anesthetist, Certified Registered Naval Hospital 6000 West Hwy 98, Pensacola, FL 32512-0003 2011-02-15
1912225533 Brian Duane Atchison Nurse Anesthetist, Certified Registered 6000 W Highway 98 Naval Hospital, Pensacola, FL 32512-0003 2010-05-06
1134339187 Laura A Cohen Nurse Anesthetist, Certified Registered 5983 Arch Ave, Pensacola, FL 32526-3232 2007-05-22
1952429607 Edwardo Chavelo Weldon Nurse Anesthetist, Certified Registered 6000 U S 98, Pensacola, FL 32512-0001 2007-03-27
1821114018 Betty Anderson Yapa Nurse Anesthetist, Certified Registered 1000 E Moreno St, Pensacola, FL 32503-5656 2007-03-21
1104911783 Billy Scott Vinson Nurse Anesthetist, Certified Registered 4810 North Davis Highway, Pensacola, FL 32503 2006-10-03
1518064682 Christina L Smith Nurse Anesthetist, Certified Registered 4801 N Davis Hwy, Pensacola, FL 32503-2342 2006-09-20
1790791218 Kathryn L Lowrey Nurse Anesthetist, Certified Registered 9400 University Parkway, Pensacola, FL 32514 2006-08-01
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Competitor

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City PENSACOLA
Zip Code 32504

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Dataset Information

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.

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