MRS. LAURA PAVEL KETELSEN (NPI# 1578194247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578194247 |
| Entity Type | Individual |
| Full Name | MRS. LAURA PAVEL KETELSEN |
| Credential | CRNA |
| Practice Address |
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708 |
| Mailing Address |
1720 Louisiana Blvd Ne Ste 401 Albuquerque NM 87110-7020 |
| Practice Telephone | 8508621111 |
| Mailing Telephone | 5052604323 |
| Mailing Fax Number | 5052604371 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 128906 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 MAR WALT DR |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779389 | Hien Dao | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2005-06-09 |
| 1619578663 | Noles Medical Services Inc | Clinic/Center | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-11-05 |
| 1629686878 | Eric Daniel Hinojosa | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-07-14 |
| 1548889215 | Jennifer D Grady | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-04-13 |
| 1508422106 | Jamie Marie Herndon | Registered Nurse | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-05-20 |
| 1801354477 | Victoria Ann Miles-nance | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-03-03 |
| 1447723457 | Jolyn Marie Pelesky | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-01-03 |
| 1346718442 | Hannah Beth Webster | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-11-06 |
| 1104301332 | Nicholas Joseph Dokianos | Internal Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-10-03 |
| 1669954152 | Rachel Ann Houck | Registered Nurse | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| 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 |
|---|---|---|---|---|
| 1881086478 | John Jared Harden | Nurse Anesthetist, Certified Registered | 572 L Ombre Cir Ne, Fort Walton Beach, FL 32547-1800 | 2015-02-19 |
| 1053379917 | Michael Angeloro | Nurse Anesthetist, Certified Registered | 995 Mar Walt Dr, Fort Walton Beach, FL 32547-6758 | 2006-05-02 |
| 1801354477 | Victoria Ann Miles-nance | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-03-03 |
| 1447723457 | Jolyn Marie Pelesky | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-01-03 |
| 1063910453 | Samantha Hite | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-01-31 |
| 1821596776 | Dmitry Greznev | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-01-25 |
| 1437697190 | Angela Frazier | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2017-02-02 |
| 1730632308 | Larissa Caputo | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2016-07-29 |
| 1639533011 | Susan Marie Ramey | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2016-04-11 |
| 1932566718 | Danielle Mcgraw | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 | 2016-01-25 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on MRS. LAURA PAVEL KETELSEN.
| 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.