MS. KELLIE L DEETER (NPI# 1780870113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780870113 |
| Entity Type | Individual |
| Full Name | MS. KELLIE L DEETER |
| Other Name | KELLIE L. WINSLOW |
| Credential | CRNA |
| Practice Address |
1171 Pioneer Pass Norwalk OH 44857-8928 |
| Mailing Address |
1171 Pioneer Pass 4th Floor Norwalk OH 44857-8928 |
| Practice Telephone | 4197064150 |
| Mailing Telephone | 4197064150 |
| Mailing Fax Number | 4199645480 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
LE-00027692 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 09618 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2810980 | 05 |
| Street Address |
1171 PIONEER PASS |
| City | NORWALK |
| State | OH |
| Zip Code | 44857-8928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712718 | Cli Incorporated | Occupational Therapist | 306 South Norwalk Road, Suite B, Norwalk, OH 44857 | 2020-08-31 |
| 1144700964 | Scott Taylor Brutsche | Counselor | 34 Woodlawn, Norwalk, OH 44857 | 2018-08-21 |
| 1124402433 | Jonathan Suter | Specialist/Technologist | 13 Hampton Way, Norwalk, OH 44857 | 2015-07-16 |
| 1700201233 | Mary Dennison | Speech-Language Pathologist | 93 East League, Norwalk, OH 44857 | 2014-02-20 |
| 1043409899 | Adam Peebles Sommers | Dentist | 72 Executive Dr, Norwalk, OH 44857 | 2007-10-17 |
| 1376762922 | Dell Elaine Bednar | Counselor | 34 Woodlawn Ave, Norwalk, OH 44857 | 2007-04-24 |
| 1477677060 | Bartt Colahan | Dentist | 30 Executive Drive, Norwalk, OH 44857 | 2007-03-19 |
| 1083768907 | Pura G Vargas | Anesthesiology | 38 Executive Drive, Norwalk, OH 44857 | 2007-01-22 |
| 1124178546 | Mark Harris | Emergency Medicine | Fisher-titus Medical Center, 272 Benedict Ave., Norwalk, OH 44857 | 2007-01-10 |
| 1619057262 | Farid H Said | Specialist | 34 Executive Drive, Norwalk, OH 44857 | 2006-10-17 |
| Find all providers in zip 44857 | ||||
| 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 |
|---|---|---|---|---|
| 1528387222 | William Engel | Nurse Anesthetist, Certified Registered | 11520 Potter St, Norwalk, CA 90650-4737 | 2010-05-20 |
| 1730679911 | Crystal May Smigel | Nurse Anesthetist, Certified Registered | 24 Stevens St, Norwalk, CT 06850 | 2018-05-14 |
| 1386180990 | Shayla Satkowski | Nurse Anesthetist, Certified Registered | 34 Maple St, Norwalk, CT 06850-3815 | 2017-01-07 |
| 1881077626 | James Sherer, C.r.n.a., A Nursing Corp. | Nurse Anesthetist, Certified Registered | 13100 Studebaker Rd, Norwalk, CA 90650-2531 | 2015-06-29 |
| 1255773768 | Lindsey Michelle Vayneris | Nurse Anesthetist, Certified Registered | 34 Maple St, Norwalk, CT 06850-3815 | 2013-07-25 |
| 1841558897 | Olga Marsillio | Nurse Anesthetist, Certified Registered | Norwalk Hospital, 34 Maple Street, Norwalk, CT 06890 | 2012-04-27 |
| 1548493778 | Karen S Wu | Nurse Anesthetist, Certified Registered | 24 Stevens St, Norwalk, CT 06850-3852 | 2009-09-04 |
| 1225233620 | Laurence Dean Welch | Nurse Anesthetist, Certified Registered | 24 Stevens St, Norwalk, CT 06850-3852 | 2007-06-18 |
| 1235132093 | Tammy Mahroos | Nurse Anesthetist, Certified Registered | 24 Stevens St, Norwalk, CT 06850-3852 | 2005-05-24 |
| 1316940166 | Carolyn Mastroni | Nurse Anesthetist, Certified Registered | 24 Stevens St, Norwalk, CT 06850-3852 | 2005-05-24 |
| Find all providers in NORWALK | ||||
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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.