MRS. ANGELA C DAVIS (NPI# 1790017523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790017523 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA C DAVIS |
| Other Name | MISS ANGELA C WIMBERLY |
| Credential | CRNA |
| Practice Address |
1100 Andre St Ste 300 Yps - Credentialing New Iberia LA 70563-2159 |
| Mailing Address |
1114 Pine St Madisonville LA 70447-9705 |
| Practice Telephone | 3373649225 |
| Practice Fax Number | 3373646094 |
| Mailing Telephone | 9857073218 |
| Mailing Fax Number | 6144422410 |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2016-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP06028 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BCBS LA | 1790017523 | 01 |
| LA | 2135619 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1477119659 | Angela Kay Davis | Registered Nurse | 5270 County Road 147, Leesburg, AL 35983-4905 | 2019-05-14 |
| 1689131658 | Angela Davis | Case Manager/Care Coordinator | 6307 Timberman Pl, Shreveport, LA 71119-7230 | 2019-02-26 |
| 1649745621 | Angela Davis | Registered Nurse | 3221 Keller Springs Rd Apt 2201, Carrollton, TX 75006-5144 | 2018-10-05 |
| 1992296768 | Angela Venetta Davis | Nurse Practitioner | 4150 W Peoria Ave Ste 121, Phoenix, AZ 85029-3951 | 2018-05-28 |
| 1316437403 | Angela N Davis | Music Therapist | 1250 Elizabeth Ave Ste 2, West Palm Beach, FL 33401-6929 | 2018-05-14 |
| 1538513841 | Angela Davis | Counselor | 10324 Commons Xing, Jonesboro, GA 30238-8066 | 2016-04-22 |
| 1124456314 | Angela Davis | Community Health Worker | 808 W Maple St, Wichita, KS 67213-5508 | 2013-10-24 |
| 1578878401 | Angela R Davis | Physical Therapist | 123 Cottsford Dr Sw, Atlanta, GA 30331-8376 | 2010-08-16 |
| Street Address |
1100 ANDRE ST STE 300 YPS - CREDENTIALING |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70563-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629036785 | Tracy P Young | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, Yps Anesthesia, New Iberia, LA 70563-2159 | 2006-05-01 |
| 1295023992 | Jean M Karpan | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, New Iberia, LA 70563-2159 | 2011-07-14 |
| 1053625426 | Kendal W Miller | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, Yps - Credentialing, New Iberia, LA 70563-2159 | 2010-07-28 |
| 1275561359 | James D Dauzart Jr. | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, New Iberia, LA 70563-2159 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
| 1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
| 1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
| 1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
| 1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
| 1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
| 1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
| 1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
| 1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
| 1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
| Find all providers in zip 70563 | ||||
| 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 |
|---|---|---|---|---|
| 1962596635 | John H Bordes Jr. | Nurse Anesthetist, Certified Registered | 729 New Iberia St, New Iberia, LA 70560-5530 | 2006-10-03 |
| 1629036785 | Tracy P Young | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, Yps Anesthesia, New Iberia, LA 70563-2159 | 2006-05-01 |
| 1083685564 | Karly C Haik | Nurse Anesthetist, Certified Registered | 301 Lucerne Dr, 3m Anesthesia, LLC, New Iberia, LA 70563-8976 | 2006-01-31 |
| 1093717555 | Christa Hardy Swiger | Nurse Anesthetist, Certified Registered | 1100 Andre St, Suite 300, New Iberia, LA 70563-2159 | 2005-08-15 |
| 1114208949 | Iberia Anesthesia Associates, L.L.C. | Nurse Anesthetist, Certified Registered | 2309 E Main St Ste 101, New Iberia, LA 70560-4063 | 2011-09-07 |
| 1295023992 | Jean M Karpan | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, New Iberia, LA 70563-2159 | 2011-07-14 |
| 1053625426 | Kendal W Miller | Nurse Anesthetist, Certified Registered | 1100 Andre St Ste 300, Yps - Credentialing, New Iberia, LA 70563-2159 | 2010-07-28 |
| 1740422377 | Casey Ryan Guidry | Nurse Anesthetist, Certified Registered | 600 N Lewis St, New Iberia, LA 70563-2043 | 2009-03-27 |
| 1346488376 | Justin P Arnold | Nurse Anesthetist, Certified Registered | 600 N Lewis St, New Iberia, LA 70563-2043 | 2009-01-29 |
| 1033318381 | Jay Howard Seymour | Nurse Anesthetist, Certified Registered | 600 N Lewis St, New Iberia, LA 70563-2043 | 2007-07-17 |
| Find all providers in NEW IBERIA | ||||
| City | NEW IBERIA |
| Zip Code | 70563 |
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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.