MRS. JORDAN FREY ELDRIDGE (NPI# 1851924765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851924765 |
| Entity Type | Individual |
| Full Name | MRS. JORDAN FREY ELDRIDGE |
| Credential | CRNA |
| Practice Address |
624 Hospital Dr Mountain Home AR 72653-2955 |
| Mailing Address |
1713 Plantation Mountain Home AR 72653-5248 |
| Practice Telephone | 8704241000 |
| Mailing Telephone | 6625713176 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 123898 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
624 HOSPITAL DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296900 | Michael L Recktenwald | Pharmacist | 624 Hospital Dr, Employee Pharmacy Department, Mountain Home, AR 72653-2955 | 2005-09-26 |
| 1790308146 | Christopher Justin Robinson | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-20 |
| 1164044665 | Jeffrey Dupre Jr. | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-07 |
| 1588296586 | Amanda M Horne | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-07 |
| 1962976472 | Baxter County Regional Hospital, Inc | General Acute Care Hospital | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2019-01-17 |
| 1184127292 | Meagan Thitoff | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-03-15 |
| 1972002020 | Sarah Marie Eaton | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-02-05 |
| 1508364449 | Lacey Hlass | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-25 |
| 1881102192 | Elizabeth Ann Smithhart | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-21 |
| 1306378062 | Almas Chughtai | Hospitalist | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2017-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
|---|---|---|---|---|
| 1467588541 | Asag, Inc. | Nurse Anesthetist, Certified Registered | 160 Hwy 201 North, Mountain Home, AR 72653 | 2007-02-26 |
| 1992870935 | Robert C Schimelpfenig | Nurse Anesthetist, Certified Registered | 848 Highway 62 E Ste 5, Mountain Home, AR 72653-3246 | 2006-11-22 |
| 1841384344 | Gretchen Lynn Nicholson | Nurse Anesthetist, Certified Registered | 624 Hospital Dr Dept 4610, Mountain Home, AR 72653-2955 | 2006-10-02 |
| 1992819361 | Julie M Acarregui | Nurse Anesthetist, Certified Registered | 3510 Ne June Lane, Mountain Home, ID 83647-5307 | 2006-08-19 |
| 1174545172 | Cathy Jo Hunt | Nurse Anesthetist, Certified Registered | Corner Sidney & Lamont, Mountain Home, TN 37684 | 2006-07-25 |
| 1174543680 | Wanda Faye Ibrahim | Nurse Anesthetist, Certified Registered | Corner Sidney and Lamont, Mountain Home, TN 37684 | 2006-07-20 |
| 1144221094 | Paula Stork | Nurse Anesthetist, Certified Registered | 160 Highway 201 N, Mountain Home, AR 72653-3158 | 2005-08-02 |
| 1790308146 | Christopher Justin Robinson | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-20 |
| 1164044665 | Jeffrey Dupre Jr. | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-07 |
| 1356823819 | Nca Anesthesia LLC | Nurse Anesthetist, Certified Registered | 160 Highway 201 N, Mountain Home, AR 72653-3158 | 2018-08-31 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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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.