TRACEY KELLY (NPI# 1942438809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942438809 |
| Entity Type | Individual |
| Full Name | TRACEY KELLY |
| Credential | CRNA |
| Practice Address |
1314 19th Avenue Meridian MS 39301 |
| Practice Telephone | 6017039687 |
| Practice Fax Number | 6017039920 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017034597 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | 1-154362 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R762544 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03407545 | 05 |
| Street Address |
1314 19TH AVENUE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1598208795 | Ryan Steed | Nurse Anesthetist, Certified Registered | 4248 E Tahiti St, Meridian, ID 83646-6341 | 2016-11-21 |
| 1225473069 | Brinton Anesthesia Group Pllc | Nurse Anesthetist, Certified Registered | 1828 S Millenium Way, Meridian, ID 83642-5036 | 2013-05-07 |
| 1720335201 | Westover Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1828 Millenium Way, Suite 100, Meridian, ID 83642-5036 | 2012-08-14 |
| 1477830339 | David Madison Foster | Nurse Anesthetist, Certified Registered | 3110 N Lancer Ave, Meridian, ID 83646-6367 | 2011-11-07 |
| 1740304732 | David Allen | Nurse Anesthetist, Certified Registered | 3235 N Towerbridge Way Ste 100, Meridian, ID 83646-5721 | 2007-03-17 |
| 1679645352 | Plastic Crna, LLC | Nurse Anesthetist, Certified Registered | 5002 Highway 39 N Bldg D, Meridian, MS 39301-1078 | 2006-11-15 |
| 1184636730 | Mary W. Collins | Nurse Anesthetist, Certified Registered | 1926 23rd Ave, Meridian, MS 39301-3107 | 2006-08-12 |
| 1932181146 | Deborah Sims Parten | Nurse Anesthetist, Certified Registered | 2124 14th St, Suite 202, Meridian, MS 39301-4040 | 2005-11-15 |
| 1427667724 | Sweet Dreams Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1001 14th St, Meridian, MS 39301-4458 | 2020-07-23 |
| 1114541257 | Jln Ventures LLC | Nurse Anesthetist, Certified Registered | 1828 S Millenium Way, Meridian, ID 83642-5036 | 2020-06-04 |
| Find all providers in MERIDIAN | ||||
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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.