MR. TIMOTHY DALE DEVRIES (NPI# 1760458764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760458764 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY DALE DEVRIES |
| Credential | CRNA |
| Practice Address |
491 Meadow Ridge Ln Hudson WI 54016-8742 |
| Practice Telephone | 7153863449 |
| Mailing Telephone | 7153863449 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R093520-1 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487644597 | Timothy J Devries | Physician Assistant | 111 Sunnyview Ln, Kalispell, MT 59901-3164 | 2005-10-28 |
| Street Address |
491 MEADOW RIDGE LN |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-8742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| 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 |
|---|---|---|---|---|
| 1598121360 | Christine Marie Beck | Nurse Anesthetist, Certified Registered | 16124 Frost Dr, Hudson, FL 34667-4157 | 2016-01-11 |
| 1891881397 | William Patrick Milder | Nurse Anesthetist, Certified Registered | 605 Stageline Road, Hudson, WI 54016 | 2006-10-04 |
| 1134144116 | Harvey Allen Baird | Nurse Anesthetist, Certified Registered | 601 Spruce Dr, Hudson, WI 54016-1871 | 2006-07-12 |
| 1639110604 | Ronald Alan Wegner | Nurse Anesthetist, Certified Registered | 11103 Sun Tree Rd, Hudson, FL 34667-5541 | 2006-06-09 |
| 1417994153 | John F Hanlon Jr. | Nurse Anesthetist, Certified Registered | 16 Towhee Dr, Hudson, NH 03051-3339 | 2006-06-01 |
| 1598726549 | Cheryll Martiny-jorgensen | Nurse Anesthetist, Certified Registered | 1110 Partridge Ln, Hudson, WI 54016-2316 | 2006-03-29 |
| 1104896406 | Jeffrey L Reichel | Nurse Anesthetist, Certified Registered | 405 Stageline Rd, Hudson, WI 54016-7848 | 2006-01-26 |
| 1578555082 | Susan A Tauzell | Nurse Anesthetist, Certified Registered | 738 Crosby Dr, Hudson, WI 54016-7869 | 2005-08-19 |
| 1710545702 | Tibor Szabo | Nurse Anesthetist, Certified Registered | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2019-06-04 |
| 1841858842 | Jonathan Szabo | Nurse Anesthetist, Certified Registered | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2019-06-04 |
| Find all providers in HUDSON | ||||
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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.