MRS. NIKOLA MATSON (NPI# 1861920373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861920373 |
| Entity Type | Individual |
| Full Name | MRS. NIKOLA MATSON |
| Credential | CRNA |
| Practice Address |
10000 Sw Innovation Way Port St Lucie FL 34987-2111 |
| Mailing Address |
4773 61st Cir Vero Beach FL 32967-6158 |
| Practice Telephone | 7723458100 |
| Enumeration Date | 2017-05-28 |
| Last Update Date | 2017-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 514499 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10000 SW INNOVATION WAY |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34987-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734825 | Chelsea Delois | Nurse Practitioner | 10000 Sw Innovation Way, Port St Lucie, FL 34987-2111 | 2019-01-19 |
| 1538586268 | Danielle Hert | Nurse Anesthetist, Certified Registered | 10000 Sw Innovation Way, Port St Lucie, FL 34987-2111 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
| 1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
| 1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
| 1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
| 1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
| 1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
| 1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
| Find all providers in zip 34987 | ||||
| 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 |
|---|---|---|---|---|
| 1407894272 | James Thomas Brown Jr. | Nurse Anesthetist, Certified Registered | 880 Sw Grand Reserve Blvd, Port St Lucie, FL 34986-2339 | 2006-06-03 |
| 1659339166 | Elizabeth A Campbell | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2006-05-03 |
| 1215441134 | Port St Lucie Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1715 Se Tiffany Ave, Port St Lucie, FL 34952-7511 | 2017-11-30 |
| 1205377595 | Valant Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 10521 Sw Village Center Dr, Suite 104, Port St Lucie, FL 34987-1930 | 2017-03-20 |
| 1538586268 | Danielle Hert | Nurse Anesthetist, Certified Registered | 10000 Sw Innovation Way, Port St Lucie, FL 34987-2111 | 2014-03-19 |
| 1144665605 | Billy Arron Floyd | Nurse Anesthetist, Certified Registered | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2013-05-09 |
| 1710026281 | Southeast Anesthesia Associates | Nurse Anesthetist, Certified Registered | 1715 Se Tiffany Ave, Port St Lucie, FL 34952-7520 | 2007-02-05 |
| 1881702074 | John T Himebaugh | Nurse Anesthetist, Certified Registered | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2006-08-28 |
| 1992743256 | Sharon Walter | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2006-06-02 |
| 1528005857 | Steven G Cooper | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2006-06-02 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34987 |
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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.