EMILY MARDAKIS (NPI# 1790050839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790050839 |
| Entity Type | Individual |
| Full Name | EMILY MARDAKIS |
| Credential | CRNA |
| Practice Address |
1906 Belleview Ave Se Roanoke VA 24014 |
| Mailing Address |
1906 Belleview Ave Se Roanoke VA 24014-1838 |
| Practice Telephone | 5408530222 |
| Practice Fax Number | 5409817855 |
| Mailing Telephone | 5408530222 |
| Mailing Fax Number | 5409817855 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0024169973 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Medical Center Blvd, Webster, TX 775984220 | 2813322511 |
| Street Address |
1906 BELLEVIEW AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315796 | Lee Ann Speed | Registered Nurse | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2005-06-10 |
| 1114526605 | Kimberly Ann Ramsey | Clinical Nurse Specialist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-10-26 |
| 1578181285 | Sarah Lipps | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-09 |
| 1124646831 | Shannon Victoria Brown | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-09 |
| 1285252189 | Yang Zhao | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1932727831 | Jonathan Zalman | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1669090569 | Miranda Thomas | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1427676329 | Zachary Seth Stevenson | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1053939801 | Narmada Mannem | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1821616657 | Vanessa Pellegrino | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| 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 |
|---|---|---|---|---|
| 1629432851 | Jeremy Andrews | Nurse Anesthetist, Certified Registered | 8033 Courville Rd, Roanoke, LA 70581-3706 | 2016-04-13 |
| 1568572063 | Marc Alan Friedberg | Nurse Anesthetist, Certified Registered | Carilion Professional Services, Belleview Ave At Jefferson St S.e., Roanoke, VA 24014-1850 | 2006-08-30 |
| 1740200815 | Charles Lawrence Bock | Nurse Anesthetist, Certified Registered | 7720 Creek Cir, Roanoke, VA 24018-6721 | 2006-07-20 |
| 1447724182 | Mary Holland Newbold | Nurse Anesthetist, Certified Registered | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2019-01-16 |
| 1861909277 | Matthew Fisher | Nurse Anesthetist, Certified Registered | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-01-08 |
| 1669989075 | Amy Katelyn Fisher | Nurse Anesthetist, Certified Registered | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-01-08 |
| 1710494687 | Jacob Kyle Anderson | Nurse Anesthetist, Certified Registered | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-01-02 |
| 1336684273 | Michael Christopher Beaudoin | Nurse Anesthetist, Certified Registered | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2017-01-02 |
| 1679017164 | Cindy Leigh Linenthal | Nurse Anesthetist, Certified Registered | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2016-12-19 |
| 1699137281 | Tasha Lynette Dolinger | Nurse Anesthetist, Certified Registered | 1906 Belleview Ave Se, Roanoke, VA 24014 | 2016-03-23 |
| Find all providers in ROANOKE | ||||
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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.