TRAVIS IAN HALLQUIST (NPI# 1578187431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578187431 |
Entity Type | Individual |
Full Name | TRAVIS IAN HALLQUIST |
Credential | DNP, CRNA |
Practice Address |
6600 Van Aalst Blvd Fort Benning GA 31905-2102 |
Mailing Address |
1291 Front Ave Unit 404 Columbus GA 31901-5278 |
Practice Telephone | 2259391982 |
Mailing Telephone | 2259391982 |
Enumeration Date | 2020-06-05 |
Last Update Date | 2020-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 269177 | NC | Nursing Service Providers |
Y | 367500000X | Nurse Anesthetist, Certified Registered | 6378 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1 Jarrett White Rd, Tripler Army Medical Center, HI 968595001 | 8084332132 |
Street Address |
6600 VAN AALST BLVD |
City | FORT BENNING |
State | GA |
Zip Code | 31905-2102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184608218 | Fletcher Maurice Boulware Jr. | Anesthesiology | 6600 Van Aalst Blvd, Anesthesia Suite 2nd Floor, Fort Benning, GA 31905 | 2005-12-01 |
1700486669 | Krystal Smith Dabon | Nurse Practitioner | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-10-29 |
1508466731 | Nichelle Pascoe | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-10-27 |
1598372518 | Delli Dorne | Nurse Practitioner | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-09-24 |
1205442944 | Vincent Krause | Nurse Practitioner | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-09-18 |
1578175824 | Shawn Nguyen | Optometrist | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-08-18 |
1720606791 | Aylin Seyalioglu | Physical Therapist | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-07-07 |
1770121899 | Rachel Elizabeth Cobb | Audiologist-Hearing Aid Fitter | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2019-12-19 |
1518516657 | Emily L Derosa | Physician Assistant | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2019-09-11 |
1194374447 | Jessica Ann Harner | Physician Assistant | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2019-09-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
Find all providers in zip 31905 |
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 |
---|---|---|---|---|
1164978821 | Thais Rodriguez | Nurse Anesthetist, Certified Registered | 6600 Van Aalst Blvd, Martin Army Community Hospital, Fort Benning, GA 31905 | 2016-08-31 |
1689041998 | Jason Washington | Nurse Anesthetist, Certified Registered | 6600 Van Aalst Blvd, Fort Benning, GA 31905 | 2015-08-24 |
1255707758 | Kyle Stevens | Nurse Anesthetist, Certified Registered | 6600 Van Aalst Boulevard, Fort Benning, GA 31905-9664 | 2015-08-19 |
1467783944 | Corey A Merritt | Nurse Anesthetist, Certified Registered | 7950 Martin Loop, Martin Army Community Hospital, Fort Benning, GA 31905-5647 | 2010-01-22 |
1013097575 | Christopher B Miles | Nurse Anesthetist, Certified Registered | 7950 Martin Loop, Fort Benning, GA 31905 | 2006-10-17 |
1689774267 | Barry Alan Vance | Nurse Anesthetist, Certified Registered | 7950 Martin Loop, Fort Benning, GA 31905-5647 | 2006-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063010189 | Soms Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1061 Dowdy Rd Ste 201, Athens, GA 30606-5700 | 2020-10-12 |
1366071557 | Kelly A Winter | Nurse Anesthetist, Certified Registered | 780 Hillmont Ave, Decatur, GA 30030-3944 | 2020-04-08 |
1932762580 | Velocity Health Partners LLC | Nurse Anesthetist, Certified Registered | 1075 Bandy Pkwy Ste 105, Locust Grove, GA 30248-7036 | 2019-04-19 |
1255805107 | B and B Healthcare Consultants | Nurse Anesthetist, Certified Registered | 310 Stoneleigh Dr Sw, Atlanta, GA 30331-7666 | 2019-01-14 |
1497227797 | Mustapha Timmy Issa | Nurse Anesthetist, Certified Registered | 1403 Elderberry Run Cv, Lawrenceville, GA 30043-3999 | 2018-12-26 |
1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1467927038 | Glga Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1250 Jesse Jewell Pkwy Se Ste 100, Gainesville, GA 30501-3871 | 2018-10-09 |
1972098770 | Brett E Mason | Nurse Anesthetist, Certified Registered | 902 S 7th St, Cordele, GA 31015-2855 | 2018-06-25 |
1760989925 | Dream Team Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | 807 Carroll St Ste C-2002, Perry, GA 31069-3311 | 2018-04-12 |
Find all providers with the same taxonomy |
City | FORT BENNING |
Zip Code | 31905 |
Please comment or provide details below to improve the information on TRAVIS IAN HALLQUIST.
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.