JEANNE MARIE ANTOLCHICK (NPI# 1689834608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689834608 |
| Entity Type | Individual |
| Full Name | JEANNE MARIE ANTOLCHICK |
| Credential | CRNA |
| Practice Address |
12502 Usf Pine Drive Tampa FL 33612-9499 |
| Mailing Address |
Po Box 8500 Lockbox # 7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 8139757130 |
| Mailing Telephone | 8132818115 |
| Mailing Fax Number | 8132818656 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2013-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 9202934 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000133200 | 05 |
| Street Address |
12502 USF PINE DRIVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457380032 | Karen Keown Hussey | Nurse Practitioner | 12502 Usf Pine Drive, Shriners Hospital for Children, Tampa, FL 33612-9499 | 2006-07-03 |
| 1376748160 | Shriners Hospitals for Children | General Acute Care Hospital | 12502 Usf Pine Drive, Tampa, FL 33612-9411 | 2007-06-20 |
| 1285799148 | Dan E. Mason | Orthopaedic Surgery | 12502 Usf Pine Drive, Tampa, FL 33612-9411 | 2006-12-22 |
| 1316027659 | Richard Vax | Anesthesiology | 12502 Usf Pine Drive, Tampa, FL 33612-9411 | 2006-10-17 |
| 1205920410 | Maureen Maciel | Orthopaedic Surgery | 12502 Usf Pine Drive, Tampa, FL 33612-9411 | 2006-10-03 |
| 1477577070 | Melinda Dean Rix | Nurse Practitioner | 12502 Usf Pine Drive, Tampa, FL 33612-9499 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| 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 |
|---|---|---|---|---|
| 1861036782 | Fernanda Sa | Nurse Anesthetist, Certified Registered | 5110 S Manhattan Ave Unit 2306, Tampa, FL 33611-3444 | 2019-11-04 |
| 1013570779 | Marlo Javier Molina Zamora | Nurse Anesthetist, Certified Registered | 1701 N Lois Ave Apt Unit224, Tampa, FL 33607-2352 | 2019-04-18 |
| 1205399359 | C Christopher Sergio | Nurse Anesthetist, Certified Registered | 3100 E Fletcher Ave Fl 33613, Tampa, FL 33613-4613 | 2019-04-06 |
| 1750897047 | Samantha Jo Rodriguez | Nurse Anesthetist, Certified Registered | 3100 E Fletcher Ave Ofc, Tampa, FL 33613-4613 | 2017-12-21 |
| 1619482817 | Claire Elizabeth Ake | Nurse Anesthetist, Certified Registered | 2727 W Dr Mlk Blvd Ste 310, Tampa, FL 33607-6063 | 2017-12-11 |
| 1275063018 | Tyler Nutt | Nurse Anesthetist, Certified Registered | 401 Harbour Place Dr Apt 1301, Tampa, FL 33602-6753 | 2017-06-14 |
| 1306395389 | Katie Elizabeth Donlevy | Nurse Anesthetist, Certified Registered | American Anesthesiology Associates of Florida Inc, 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2016-10-01 |
| 1184099905 | Joel Christopher Porch | Nurse Anesthetist, Certified Registered | 4875 Tuscan Loon Dr, Tampa, FL 33619-0809 | 2015-12-04 |
| 1396127379 | Leondra Hillery | Nurse Anesthetist, Certified Registered | 400 N Ashley Dr Ste 1625, Tampa, FL 33602-4395 | 2015-06-25 |
| 1275931677 | Cassendra Kirkhom | Nurse Anesthetist, Certified Registered | 2727 W Dr Martin Luther King Jr Blvd Ste 310, Tampa, FL 33607-6063 | 2014-12-17 |
| Find all providers in TAMPA | ||||
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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.