MELISSA EVANGELISTA (NPI# 1750839908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750839908 |
| Entity Type | Individual |
| Full Name | MELISSA EVANGELISTA |
| Credential | CRNA |
| Practice Address |
300 Pasteur Dr Palo Alto CA 94305-2200 |
| Mailing Address |
300 Pasteur Drive H3580 Palo Alto CA 94305-5640 |
| Practice Telephone | (510) 432-4208 |
| Mailing Telephone | (510) 432-4208 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 672030- 1 | NY | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 95081898 | CA | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 95000643 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 113749 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 N California St, Stockton, CA 952046019 | 2099432000 |
| Street Address |
300 PASTEUR DR |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94305-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253415 | Alexandra Cummings | Physician Assistant | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-10-21 |
| 1881291052 | Daniel Choban | Respiratory Therapist, Certified | 300 Pasteur Dr, Palo Alto, CA 94305-2295 | 2020-10-01 |
| 1609483403 | Julia Reed | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-25 |
| 1801402623 | Lakshitha Sivanandan | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-17 |
| 1386259703 | Blair Bigham | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-11 |
| 1043823750 | Kianoosh Keyhanian | Pathology | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-08-24 |
| 1437761186 | Grace Kioko | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-08-22 |
| 1285256743 | James Ryan Houston | Technician, Other | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2020-05-07 |
| 1306466768 | Lily Hyunkyung Kim | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2020-04-25 |
| 1033738604 | Taylor Renee Johnson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
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| 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 |
|---|---|---|---|---|
| 1912985755 | David L Nicholson | Nurse Anesthetist, Certified Registered | 2452 Watson Ct, Palo Alto, CA 94303-3216 | 2006-01-03 |
| 1972934719 | Jonathan Entwisle | Nurse Anesthetist, Certified Registered | 2452 Watson Ct, Palo Alto, CA 94303-3216 | 2013-12-04 |
| 1215267828 | Amy Liang | Nurse Anesthetist, Certified Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2010-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687395 | Anesthesia First, Inc | Nurse Anesthetist, Certified Registered | 1332 W Herndon Ave Ste 102, Fresno, CA 93711-7118 | 2020-10-23 |
| 1659970580 | Twilight Nursing Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 1247 W Bloomwood Rd, Rancho Palos Verdes, CA 90275-1937 | 2020-10-21 |
| 1881201432 | Edc Anesthesia Nursing PC | Nurse Anesthetist, Certified Registered | 72301 Country Club Drive, Suite 101, Rancho Mirage, CA 92270-8007 | 2020-09-28 |
| 1720697501 | Elizabeth Diane Doty | Nurse Anesthetist, Certified Registered | 235 N Conejo School Rd Apt 116, Thousand Oaks, CA 91362-2676 | 2020-07-28 |
| 1447868013 | Matthew Shirts | Nurse Anesthetist, Certified Registered | 6713 E Princeton Ave, Fresno, CA 93727-1441 | 2020-07-20 |
| 1730797705 | Ryan James Tobin | Nurse Anesthetist, Certified Registered | 1786 El Paso Ave, Clovis, CA 93611-6601 | 2020-07-16 |
| 1922626167 | Ileana Lopez | Nurse Anesthetist, Certified Registered | 388 E Ocean Blvd Unit 702, Long Beach, CA 90802-5264 | 2020-07-13 |
| 1154946085 | Brianna Koty | Nurse Anesthetist, Certified Registered | 1611 Greenwood Ave, Torrance, CA 90503-6134 | 2020-06-16 |
| 1962025973 | Franesei Crna A Nursing Corporation Inc | Nurse Anesthetist, Certified Registered | 2601 W Alameda Ave Ste 312, Burbank, CA 91505-4812 | 2020-05-26 |
| 1144858028 | Dennis Casanova Colon | Nurse Anesthetist, Certified Registered | 547 E Weldon Ave, Fresno, CA 93704-6031 | 2020-03-27 |
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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.