KEITH MAXWELL BULL (NPI# 1851751432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851751432 |
Entity Type | Individual |
Full Name | KEITH MAXWELL BULL |
Credential | CRNA |
Practice Address |
2300 E 30th St Building A Farmington NM 87401-8990 |
Mailing Address |
1515 E 20th St Suite A Farmington NM 87401-9039 |
Practice Telephone | 5053266400 |
Mailing Telephone | 5053266400 |
Mailing Fax Number | 5053264606 |
Enumeration Date | 2016-02-25 |
Last Update Date | 2017-04-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | 101335 | NE | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 140943 | 05 | |
NM | 55278710 | 05 |
Street Address |
2300 E 30TH ST BUILDING A |
City | FARMINGTON |
State | NM |
Zip Code | 87401-8990 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689677791 | Joseph Perry Pope | Family Medicine | 2300 E 30th St, Bldg B, Farmington, NM 87401-8990 | 2005-05-23 |
1861745945 | Melissa Lea-foster Rietz | Nurse Practitioner | 2300 E 30th St, Ste C2, Farmington, NM 87401-8991 | 2012-10-26 |
1922308782 | Craig Burgess | Pharmacist | 2300 E 30th St, Farmington, NM 87401-8990 | 2010-10-27 |
1912139452 | Richard Louis Hutchison, Md, PC | Plastic Surgery | 2300 E 30th St, Building B, Suite 103, Farmington, NM 87401-8990 | 2009-08-18 |
1518106004 | James F Burpee | Urology | 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401-8990 | 2009-02-06 |
1710190350 | Adult & Pediatric Urology, LLC | Urology | 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401-8990 | 2007-05-08 |
1851412829 | Brett M. Clarke | Otolaryngology | 2300 E 30th St, Bldg D-102, Farmington, NM 87401-8990 | 2007-04-03 |
1528141843 | San Juan Regional Medical Center Inc | Psychiatry & Neurology | 2300 E 30th St, Building 102, Farmington, NM 87401-8990 | 2006-10-23 |
1265527642 | R Stephen Rankin | Pediatrics | 2300 E 30th St, Bldg C2, Farmington, NM 87401-8990 | 2006-10-03 |
1598879652 | Pinon Family Practice PC | Family Medicine | 2300 E 30th St, Bldg C-2, Farmington, NM 87401-8990 | 2006-08-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
Find all providers in zip 87401 |
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 |
---|---|---|---|---|
1104336445 | Blue Sky Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 109 Chestnut Hill Rd, Farmington, NH 03835-3914 | 2017-09-30 |
1861878522 | Ryan Ellis | Nurse Anesthetist, Certified Registered | 4511 Barcelona Cir, Farmington, NM 87401-2892 | 2015-08-05 |
1750317467 | Jaqueline R Stefek | Nurse Anesthetist, Certified Registered | 3704 Fairfax Ave, Farmington, NM 87402-4578 | 2006-06-24 |
1386685337 | Matthew Stauffer Saylor | Nurse Anesthetist, Certified Registered | 697 Shire Ln, Farmington, UT 84025-4717 | 2006-06-09 |
1063414290 | Barbara S Kamps | Nurse Anesthetist, Certified Registered | 950 W Pinon, Farmington, NM 87401 | 2005-06-01 |
1457354359 | Werner Henry Beckerhoff Jr. | Nurse Anesthetist, Certified Registered | 5410 Colibri Pl, Farmington, NM 87402-0983 | 2005-05-24 |
1679107007 | Darcy Ernat | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2020-02-25 |
1790320307 | Benton James Lunt | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-07 |
1174088280 | Laura Chase | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-02-02 |
1477036572 | Lynndi Wilson | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2018-09-13 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 87401 |
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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.