KALEB ANDREW BURGESS (NPI# 1770107583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770107583 |
| Entity Type | Individual |
| Full Name | KALEB ANDREW BURGESS |
| Credential | CRNA |
| Practice Address |
4401 Riverchase Dr Phenix City AL 36867-7483 |
| Mailing Address |
6225 N State Highway 161 Ste 200 Irving TX 75038-2241 |
| Practice Telephone | 3347323000 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1-149764 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4401 RIVERCHASE DR |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36867-7483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
| 1639791254 | Jacob Taunton | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-05-18 |
| 1598385650 | Meera Gill | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-04-19 |
| 1215564232 | Michael Taylor Ulmer | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-03-27 |
| 1629609631 | Nes Tennessee Inc | Emergency Medicine | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-01-29 |
| 1083109698 | Andrew S. Bae | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2018-06-26 |
| 1164917779 | Joseph P Kelly | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2018-06-26 |
| 1114447380 | Julia Fink | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2017-06-20 |
| 1053831230 | Alfred Gianni Ricci | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2017-06-20 |
| 1376998468 | Gilberto Gomez | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2016-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
| 1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
| 1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
| 1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
| 1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
| 1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
| 1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
| 1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
| 1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
| 1437549987 | Elizabeth A. Romey | Counselor | 3700 S. Railroad St, Ste. A, Phenix City, AL 36867 | 2015-02-04 |
| Find all providers in zip 36867 | ||||
| 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 |
|---|---|---|---|---|
| 1215393053 | Elizabeth Newton | Nurse Anesthetist, Certified Registered | 4402 Riverchase Dr Apt 4010, Phenix City, AL 36867-7550 | 2016-01-09 |
| 1093814816 | Janice L Pfotenhauer | Nurse Anesthetist, Certified Registered | 2401 St Andrews Way, Phenix City, Phenix City, AL 36867-7413 | 2006-09-21 |
| 1063863082 | Andrew Hornsby | Nurse Anesthetist, Certified Registered | 4401 River Chase Dr, Phenix City, AL 36867-7483 | 2016-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360525 | Emily Rhyne Summerlin | Nurse Anesthetist, Certified Registered | 349 Washington St, Benton, AL 36785-5425 | 2020-06-12 |
| 1245854892 | Haley Lawrence Hudson | Nurse Anesthetist, Certified Registered | 2290 Tanglewood Brook Ln, Vestavia, AL 35243-2170 | 2020-05-29 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1740838820 | Kristi Kell Falco | Nurse Anesthetist, Certified Registered | 200 Broad St # 300, Gadsden, AL 35901-3754 | 2019-08-31 |
| 1013570803 | Amber Lynne Denaburg | Nurse Anesthetist, Certified Registered | 261 County Road 1403, Cullman, AL 35058-0596 | 2019-04-17 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1366906521 | Tanner Medical Center Alabama Inc | Nurse Anesthetist, Certified Registered | 1032 Main St S, Wedowee, AL 36278-7440 | 2019-01-22 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1568974327 | Cahaba Valley Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 632 2nd Street North, Alabaster, AL 35007 | 2017-11-01 |
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| City | PHENIX CITY |
| Zip Code | 36867 |
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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.