PATRICK M MCCULLEY (NPI# 1609812429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609812429 |
| Entity Type | Individual |
| Full Name | PATRICK M MCCULLEY |
| Credential | CRNA |
| Practice Address |
7500 Timberlake Methodist Hospital Sacramento CA 95823 |
| Mailing Address |
Po Box 966 Sutter Creek Ob Anesthesia Services Sutter Creek CA 95685 |
| Practice Telephone | 9164233000 |
| Mailing Telephone | 8882700340 |
| Mailing Fax Number | 8882700331 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163W00000X | Registered Nurse | RN228688 | CA | Nursing Service Providers |
| X | 367500000X | Nurse Anesthetist, Certified Registered | 373 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | RN228688 | 01 |
| CA | STATE LICENSE | NA373 | 01 |
| Street Address |
7500 TIMBERLAKE METHODIST HOSPITAL |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366493140 | Kelley Rhene Gardner | Nurse Anesthetist, Certified Registered | 7500 Timberlake, Methodist Hospital, Sacramento, CA 95823 | 2006-05-15 |
| 1457397275 | Arnold John Meert | Registered Nurse | 7500 Timberlake, Methodist Hospital, Sacramento, CA 95823 | 2006-06-21 |
| 1467498550 | Elaine E Gromofsky | Registered Nurse | 7500 Timberlake, Methodist Hospital 2nd Floor Labor and Delivery, Sacramento, CA 95823 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801162 | Eric Longenecker | Registered Nurse | 2727 Honeysuckle Way, Sacramento, CA 95826-3118 | 2020-11-04 |
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1467091843 | Regan Saucedo | Registered Nurse | 4600 Broadway Ste 2100, Sacramento, CA 95820-1527 | 2020-01-02 |
| 1770129298 | Michael Haworth | Registered Nurse | 60 Cache River Cir, Sacramento, CA 95831-3759 | 2019-11-19 |
| 1083255335 | Brandon Wong | Registered Nurse | 8012 Feathers Nest Way, Sacramento, CA 95829-9606 | 2019-10-07 |
| 1356991442 | Kathryn L Spicer | Registered Nurse | 1435 River Park Dr, Sacramento, CA 95815-4509 | 2019-09-19 |
| 1952966707 | Jo Ann Wright | Registered Nurse | 4851 Kokomo Dr Apt 6624, Sacramento, CA 95835-1844 | 2019-05-07 |
| 1790248417 | Katherine Sandoval | Registered Nurse | 2801 Capitol Ave, Sacramento, CA 95816-6000 | 2019-04-09 |
| 1366907230 | Maritess Bacani De Leon | Registered Nurse | 3200 Tice Creek Way, Sacramento, CA 95833-4436 | 2019-02-05 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.