KEITH MAXWELL BULL


Address: 2300 E 30th St, Building A, Farmington, NM 87401-8990
Phone: 5053266400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 101335 NE Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 140943 05
NM 55278710 05

Office Location

Street Address 2300 E 30TH ST
BUILDING A
City FARMINGTON
State NM
Zip Code 87401-8990

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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City FARMINGTON
Zip Code 87401

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Dataset Information

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.

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