SHORELINE ANESTHESIA (NPI# 1902029234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902029234 |
| Entity Type | Organization |
| Organization Name | SHORELINE ANESTHESIA |
| Practice Address |
111 W Tazewell St #305 Norfolk VA 23510-1815 |
| Practice Telephone | 7576256873 |
| Practice Fax Number | 7576256873 |
| Mailing Telephone | 7576256873 |
| Mailing Fax Number | 7576256873 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LUREE S HOLT (PRESIDENT OWNER) |
| Authorized Official Telephone | 7576256873 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0001137473 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | IND NPI NUMBER | 1063501419 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SHORELINE ANESTHESIA ASSOCIATES, LLC | James H. Farmer, M.d., 64 Quarry Ledge, Madison, CT 06443 |
| Connecticut Business Registrations | SHORELINE ANESTHESIA HOLDING, P.C. | 365 Montauk Ave, Lawrence & Memorial Hospital, New London, CT 06320 |
| Connecticut Business Registrations | SHORELINE ANESTHESIA SERVICES, LLC | 173 Wildwood Ave, Madison, CT 06443 |
| Street Address |
111 W TAZEWELL ST #305 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23510-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151108 | Brittany Delong | Speech-Language Pathologist | 534 E Olney Road, Norfolk, VA 23510 | 2019-08-30 |
| 1881164366 | Gregory D Newman | Hearing Instrument Specialist | 501 B Bousch St, Norfolk, VA 23510 | 2018-11-28 |
| 1598282998 | Tidewater Hyperbaric | Preventive Medicine | 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 | 2017-08-25 |
| 1295276186 | John Michael Curnes | General Practice | 200 College Pl Apt 215, Norfolk, VA 23510 | 2017-03-13 |
| 1326499989 | East Coast Family Services | Community/Behavioral Health | 259 Granby St., Norfolk, VA 23510 | 2016-06-24 |
| 1659750529 | Cortney Armitano | Specialist/Technologist | 201 West Tazewell Street, Apt. 206, Norfolk, VA 23510 | 2015-05-26 |
| 1285076067 | Abundant Life Therapeutic Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 645 Church St., Suite 104c, Norfolk, VA 23510 | 2013-07-22 |
| 1497196901 | Patricia Ann Richardson | Assisted Living Facility | 101 East Plume Street, 501, Norfolk, VA 23510 | 2013-07-12 |
| 1427319300 | The Foleck Center | Dentist | 201 College Place, #111, Norfolk, VA 23510 | 2012-06-06 |
| 1033414941 | Laura Jeanne O'neal | Social Worker | 250 W Brambleton Ave, Ste 101, Norfolk, VA 23510 | 2011-01-24 |
| Find all providers in zip 23510 | ||||
| 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 |
|---|---|---|---|---|
| 1952829640 | Elizabeth Ann Condon | Nurse Anesthetist, Certified Registered | 4722 Pleasant Ave, Norfolk, VA 23518-1913 | 2017-09-02 |
| 1154729069 | Pulse Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 9701 Sherwood Pl, Norfolk, VA 23503-1745 | 2014-12-09 |
| 1245330976 | Debra Lynn Topp | Nurse Anesthetist, Certified Registered | 1507 Cedar Ridge Rd, Norfolk, NE 68701-3117 | 2006-09-23 |
| 1326002320 | Briana Meseroll | Nurse Anesthetist, Certified Registered | 804 Glen Rock Rd, Suite 200, Norfolk, VA 23502 | 2006-04-14 |
| 1902808843 | Marcia Bourque-moreno | Nurse Anesthetist, Certified Registered | 74 Cleveland St, Norfolk, MA 02056-1048 | 2005-08-11 |
| 1154954998 | Alissa Warlick | Nurse Anesthetist, Certified Registered | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-02-20 |
| 1235761875 | Alexandra Leigh Greene | Nurse Anesthetist, Certified Registered | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-02-11 |
| 1629629019 | Sarah Ashley Zakula | Nurse Anesthetist, Certified Registered | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2019-09-26 |
| 1669034427 | Leslie Sandridge | Nurse Anesthetist, Certified Registered | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2019-07-02 |
| 1336705748 | Ryan Joel Weeks | Nurse Anesthetist, Certified Registered | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2019-05-13 |
| Find all providers in NORFOLK | ||||
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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.