JOHNATHAN TYLER NICHOLLS


Address: 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260
Phone: 4802561520

JOHNATHAN TYLER NICHOLLS (NPI# 1639684699) 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) 1639684699
Entity Type Individual
Full Name JOHNATHAN TYLER NICHOLLS
Credential CRNA
Practice Address 8424 E Shea Blvd Ste 101
Scottsdale
AZ 85260
Mailing Address 9424 W Eaton Rd
Phoenix
AZ 85037-4274
Practice Telephone 4802561520
Practice Fax Number 4804786628
Mailing Telephone 8018082672
Enumeration Date 2017-12-12
Last Update Date 2018-07-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 6566569-3102 UT Nursing Service Providers
Y 367500000X Nurse Anesthetist, Certified Registered 1494 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 390207 05

Office Location

Street Address 8424 E SHEA BLVD STE 101
City SCOTTSDALE
State AZ
Zip Code 85260

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609134535 Jay Shah Anesthesiology 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 2012-04-28
1265031355 Laura Anne Hales Registered Nurse 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 2020-10-20
1932724796 Shaju Francis Registered Nurse 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 2020-06-08
1124642319 Lindsey Lee Smith Registered Nurse 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 2020-06-03
1457846388 Jasleen Mohini Kohli Nurse Anesthetist, Certified Registered 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 2018-06-23
1316440704 Airway Management Specialist Pllc Anesthesiology 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 2018-03-13
1669989877 Jarrod Keane Cifra Registered Nurse 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 2018-01-09
1871950857 Megan Larsen Registered Nurse 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 2016-01-22
1275911968 Roy O'neil Anesthesiology 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 2015-05-13
1932544665 Melanie Dawn Adams-boyle Surgery 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 2013-05-08
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NPI Name Taxonomy Address Enumeration
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1861049967 Aca Wellness Institute Registered Nurse 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 2019-08-22
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1700431079 Corey Allen Niles Physical Therapist 16413 N 91st Street #c145, Scottsdale, AZ 85260 2019-08-05
1578126470 Scottsdale Pediatric Dental Associates Inc Dentist 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 2019-04-16
1548747645 Oliver Canizales Renteria Behavior Technician 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 2018-07-23
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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
1740895994 Kelli Dee Gleason Nurse Anesthetist, Certified Registered 8339 E Vista Dr, Scottsdale, AZ 85250-7321 2020-09-14
1245621960 Gastroenterology Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered 7033 E Greenway Pkwy, Suite 250, Scottsdale, AZ 85254-2046 2015-02-17
1497177232 John Edwin Langer Nurse Anesthetist, Certified Registered 8424 East Shea Blvd., Suite 101, Scottsdale, AZ 85260 2014-01-14
1689921439 Joseph A Rodriguez Nurse Anesthetist, Certified Registered 8144 E Cactus Rd Ste 800, Scottsdale, AZ 85260-5266 2012-08-11
1326356650 Antonio D Moore Nurse Anesthetist, Certified Registered 6728 E Grandview Dr, Scottsdale, AZ 85254-5668 2010-09-21
1629306527 Carey Catania Nurse Anesthetist, Certified Registered 7770 E Camelback Rd, Ste 12, Scottsdale, AZ 85251-2273 2009-12-03
1447400742 Frederick Scott Imus Nurse Anesthetist, Certified Registered 9023 E Desert Cove Ave Ste 101, Scottsdale, AZ 85260-6779 2008-09-23
1669677399 Ann Marie Caldarera Bakker Nurse Anesthetist, Certified Registered 8307 E Indianola Ave, Scottsdale, AZ 85251-4801 2007-06-21
1922025683 Angela Sees Nurse Anesthetist, Certified Registered 10257 E Star of The Desert Dr, Scottsdale, AZ 85255-8621 2006-07-17
1801839543 Jerome Nelson Hovey Nurse Anesthetist, Certified Registered 15845 N 63rd Pl, Scottsdale, AZ 85254-1968 2006-06-13
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Competitor

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City SCOTTSDALE
Zip Code 85260

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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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