KELLY A CARMACK (NPI# 1821065269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821065269 |
| Entity Type | Individual |
| Full Name | KELLY A CARMACK |
| Credential | CRNA |
| Practice Address |
9326 Medical Plaza Dr Ste B Charleston SC 29406-9138 |
| Practice Telephone | 8435537070 |
| Practice Fax Number | 8435532223 |
| Mailing Telephone | 8435537070 |
| Mailing Fax Number | 8435532223 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APN1504 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | AN1071 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164597530 | Kelly Barton Carmack | Case Manager/Care Coordinator | 107 Parmac Road, Suite 1, Chico, CA 95926 | 2006-11-21 |
| Street Address |
9326 MEDICAL PLAZA DR STE B |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29406-9138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962479691 | Jennifer Lynne Hale | Nurse Anesthetist, Certified Registered | 9326 Medical Plaza Dr, Ste B, Charleston, SC 29406-9138 | 2006-03-01 |
| 1669694030 | Mark Patrick Wimberly | Anesthesiology | 9326 Medical Plaza Dr, Ste E, Charleston, SC 29406-7112 | 2007-05-03 |
| 1124055298 | Michael S Sabback | Surgery | 9326 Medical Plaza Dr, Ste D, Charleston, SC 29406-9138 | 2006-06-26 |
| 1689610982 | Carolina Surg Assoc Pa | Surgery | 9326 Medical Plaza Dr, Ste D, Charleston, SC 29406-9138 | 2006-06-22 |
| 1033187570 | Annette W Cooper | Nurse Anesthetist, Certified Registered | 9326 Medical Plaza Dr, Ste B, Charleston, SC 29406-9138 | 2006-03-10 |
| 1922076462 | Carroll S Brown | Anesthesiology | 9326 Medical Plaza Dr, Ste B, Charleston, SC 29406-9138 | 2006-03-10 |
| 1992773774 | Susan S Heath | Nurse Anesthetist, Certified Registered | 9326 Medical Plaza Dr, Ste B, Charleston, SC 29406-9138 | 2006-03-09 |
| 1932176336 | Melissa T Paladino | Nurse Anesthetist, Certified Registered | 9326 Medical Plaza Dr, Ste B, Charleston, SC 29406-9138 | 2006-03-03 |
| 1629045075 | Natalie Chevallier | Nurse Anesthetist, Certified Registered | 9326 Medical Plaza Dr, Ste B, Charleston, SC 29406-9138 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| 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 |
|---|---|---|---|---|
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1043746464 | Victoria Lorraine Nester | Nurse Anesthetist, Certified Registered | 3018 Cane Fork Rd, Charleston, WV 25314-9002 | 2017-05-04 |
| 1417308891 | Erik Meadows | Nurse Anesthetist, Certified Registered | 121 Hickory Rd, Charleston, WV 25314-1823 | 2016-06-27 |
| 1194175265 | Bethany Daniel | Nurse Anesthetist, Certified Registered | 644 Gordon Dr, Charleston, WV 25314-1762 | 2016-06-20 |
| 1790117356 | Benjamin Michael Blick | Nurse Anesthetist, Certified Registered | 402 Bow Hunter Rd, Charleston, WV 25314-2458 | 2013-08-06 |
| 1972805802 | Bradford Clinton Buddenberg | Nurse Anesthetist, Certified Registered | 2215 Smith Rd, Charleston, WV 25314-2110 | 2010-11-29 |
| 1750619011 | Ashlea Renea King | Nurse Anesthetist, Certified Registered | 12 Jamestown Rd, Charleston, WV 25314-1976 | 2009-11-25 |
| 1013152644 | Meg Adair Jackson | Nurse Anesthetist, Certified Registered | 3200 Maccorkle Ave S. E., Charleston, WV 25304 | 2008-12-11 |
| 1316198161 | Tabitha Renee Stutler | Nurse Anesthetist, Certified Registered | 800 Penssylvania Ave, Charleston, WV 25302 | 2008-10-09 |
| 1194997536 | Priscilla Joyce Walkup | Nurse Anesthetist, Certified Registered | 3110 Maccorkle Ave, S.e., Room 2042 Robert C. Byrd Bld, Charleston, WV 25304-1833 | 2008-03-26 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29406 |
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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.