JENNIFER LARAE HEAVENSTON (NPI# 1700170388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700170388 |
| Entity Type | Individual |
| Full Name | JENNIFER LARAE HEAVENSTON |
| Credential | CRNA |
| Practice Address |
1800 Harrison St 7th Floor Oakland CA 94612-3466 |
| Practice Telephone | 5106256262 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4011 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1800 HARRISON ST 7TH FLOOR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164413472 | Andrea Baowang Ajayi | Emergency Medicine | 1800 Harrison St, 7th Floor, Oakland, CA 94612-3466 | 2005-11-04 |
| 1720620826 | Macy Shia-thomas | Pharmacist | 1800 Harrison St, Oakland, CA 94612-3466 | 2019-10-10 |
| 1578937025 | Heather Brown | Physical Therapist | 1800 Harrison St, Oakland, CA 94611 | 2015-11-20 |
| 1104206911 | Corinne Payne | Pharmacist | 1800 Harrison St, Oakland, CA 94612-3466 | 2015-06-05 |
| 1366842163 | M Jen | Pharmacist | 1800 Harrison St, Oakland, CA 94612-3466 | 2014-08-28 |
| 1720427644 | Cynthia Liang | Pharmacist | 1800 Harrison St, Oakland, CA 94612-3466 | 2013-06-25 |
| 1477992493 | Andrew Fung | Pharmacist | 1800 Harrison St, Oakland, CA 94612-3466 | 2013-06-24 |
| 1093154726 | Jenny Vong | Pharmacist | 1800 Harrison St, Oakland, CA 94612-3466 | 2013-06-15 |
| 1902245707 | Janette Gomes | Social Worker | 1800 Harrison St, Oakland, CA 94612-3466 | 2013-06-14 |
| 1194096800 | Julie Nguyen Do | Pharmacist | 1800 Harrison St, Oakland, CA 94612-3466 | 2012-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| 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 |
|---|---|---|---|---|
| 1891935482 | Carolyn G. Baddeley | Nurse Anesthetist, Certified Registered | 3170 Mebane Rd, Oakland, TN 38060-4012 | 2009-02-23 |
| 1144276171 | Kathy Stearns | Nurse Anesthetist, Certified Registered | 320 Largovista Dr, Oakland, FL 34787-8979 | 2006-05-25 |
| 1730146903 | Darlene Michelle Fields-ba | Nurse Anesthetist, Certified Registered | 4232 Dunsmuir Ave, Oakland, CA 94619-1650 | 2006-04-28 |
| 1821084708 | James Llewellyn | Nurse Anesthetist, Certified Registered | 251 N 4th St, Oakland, MD 21550-1375 | 2005-09-26 |
| 1144863440 | Cayleigh Williamson | Nurse Anesthetist, Certified Registered | 3600 Broadway, Oakland, CA 94611-5730 | 2019-10-21 |
| 1588123160 | James Andrew Weber | Nurse Anesthetist, Certified Registered | 3600 Broadway, Oakland, CA 94611-5730 | 2019-03-13 |
| 1235698929 | Mary Rose Bailey | Nurse Anesthetist, Certified Registered | 3600 Broadway, Oakland, CA 94611-5730 | 2019-03-13 |
| 1346706264 | Chelsea Trotta | Nurse Anesthetist, Certified Registered | 1411 E 31st St, Oakland, CA 94602-1092 | 2019-02-15 |
| 1255808929 | Amin Shabbir Azam | Nurse Anesthetist, Certified Registered | 3600 Broadway, Oakland, CA 94611-5730 | 2018-10-31 |
| 1174017123 | Njodzeka Venatius Ngong | Nurse Anesthetist, Certified Registered | 251 N 4th St, Oakland, MD 21550-1375 | 2018-06-21 |
| Find all providers in OAKLAND | ||||
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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.