BRADLEY J COURNEYA (NPI# 1659310274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659310274 |
| Entity Type | Individual |
| Full Name | BRADLEY J COURNEYA |
| Credential | CRNA |
| Practice Address |
125 Frazee St E Detroit Lakes MN 56501-3501 |
| Mailing Address |
Po Box 727 Detroit Lakes MN 56502-0727 |
| Practice Telephone | 2188442300 |
| Practice Fax Number | 2188442444 |
| Mailing Telephone | 2188442300 |
| Mailing Fax Number | 2188442444 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 091428 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA # | 2000763 | 01 |
| MN | MNBS # | 40009CO | 01 |
| MN | PREFERRED ONE # | DA9031015659 | 01 |
| MN | 12692 | 05 | |
| MN | NDBS # | 3749 | 01 |
| MN | HEALTHPARTNERS # | HP38636 | 01 |
| MN | UCARE # | 142328 | 01 |
| Street Address |
125 FRAZEE ST E |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104877455 | Dakota Clinic, Ltd. | Family Medicine | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2006-05-12 |
| 1427388040 | Jonathan Michael Aligada | Psychologist | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2010-01-04 |
| 1316173958 | Cindy Sue Bailey | Registered Nurse | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2009-06-10 |
| 1225214133 | Innovis Health, LLC | Clinic/Center | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2008-01-10 |
| 1336329085 | Innovis Health, LLC. | Family Medicine | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2007-11-10 |
| 1265593545 | Dakota Clinic Ltd | Clinic/Center | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2006-12-12 |
| 1437228574 | Dakota Clinic, Ltd. | Dietitian, Registered | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2006-11-06 |
| 1083655278 | Nancy Darcy D Olson | Occupational Therapist | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2006-06-09 |
| 1720029325 | Dewayne M Dunham | Nurse Anesthetist, Certified Registered | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2006-06-08 |
| 1770524308 | Tessa L Thomas | Physical Therapist | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| 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 |
|---|---|---|---|---|
| 1104131853 | Jeffrey D. Sliper | Nurse Anesthetist, Certified Registered | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2010-08-18 |
| 1861410417 | Debra D Jellison | Nurse Anesthetist, Certified Registered | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2006-07-18 |
| 1316965981 | Carol M Lee | Nurse Anesthetist, Certified Registered | 1027 Washington Ave, Detroit Lakes, MN 56501 | 2006-07-18 |
| 1730125816 | Jeffrey R Johannsen | Nurse Anesthetist, Certified Registered | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2006-06-20 |
| 1720029325 | Dewayne M Dunham | Nurse Anesthetist, Certified Registered | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2006-06-08 |
| 1659328375 | Benjamin B Evenson | Nurse Anesthetist, Certified Registered | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2006-05-28 |
| 1134172034 | Kristine K Domier | Nurse Anesthetist, Certified Registered | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2006-05-19 |
| 1366410540 | Russell H Sauer | Nurse Anesthetist, Certified Registered | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241364 | Jl Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 13359 Isle Dr Ste 1, Baxter, MN 56425-2223 | 2020-09-23 |
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1699306100 | Westpacific Westpac Anesthesia-anesthesia Consultants of Minnesot | Nurse Anesthetist, Certified Registered | 9825 Hospital Dr Ste 203, Maple Grove, MN 55369-4772 | 2020-02-03 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1952946501 | Wyn Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 991 Sibley Memorial Hwy Ste 202, Saint Paul, MN 55118-5116 | 2019-11-07 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1154894202 | Amy Elizabeth Engstrom | Nurse Anesthetist, Certified Registered | 1411 Premier Dr, Mankato, MN 56001-6076 | 2019-01-10 |
| 1215410311 | Hali Jean Haukos | Nurse Anesthetist, Certified Registered | 640 Jackson St - Mail Stop 13901c, Saint Paul, MN 55101-2502 | 2018-09-13 |
| 1154814580 | Ams Minn Pllc | Nurse Anesthetist, Certified Registered | 13601 80th Cir N Ste 100, Maple Grove, MN 55369-8906 | 2018-06-11 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
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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.