KARYL HERITAGE MCCLELLAN


Address: 1025 Northeast Gateway Ct, Ne, Concord, NC 28025
Phone: 7049207020

KARYL HERITAGE MCCLELLAN (NPI# 1962451385) 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) 1962451385
Entity Type Individual
Full Name KARYL HERITAGE MCCLELLAN
Credential CRNA
Practice Address 1025 Northeast Gateway Ct, Ne
Concord
NC 28025
Mailing Address 255 Payne Rd
Kannapolis
NC 28083-8029
Practice Telephone 7049207020
Mailing Telephone 7049387358
Enumeration Date 2006-05-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 034284 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC NAN075 05
NC 8050798 05

Office Location

Street Address 1025 NORTHEAST GATEWAY CT, NE
City CONCORD
State NC
Zip Code 28025

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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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
1437622800 Bryan Do Nurse Anesthetist, Certified Registered 1036 Oak Grove Rd Apt 22, Concord, CA 94518-3233 2019-01-08
1437640679 Kyle Moore Thorne Nurse Anesthetist, Certified Registered 1 Pillsbury St Ste 202, Concord, NH 03301 2018-05-23
1194148593 Kerry Ann Gallagher Nurse Anesthetist, Certified Registered 1987 Quail Dr Nw, Concord, NC 28027-8876 2014-01-22
1326383100 Kyle C Anderson Nurse Anesthetist, Certified Registered 22 Bridge St Ste 9, Concord, NH 03301-4987 2012-12-04
1548401789 Gateway Anesthesia LLC Nurse Anesthetist, Certified Registered 1025 Ne Gateway Ct, Concord, NC 28025-2440 2009-03-18
1194748525 Northeast Medical Center Nurse Anesthetist, Certified Registered 920 Church St, Concord, NC 28075 2006-07-26
1447206479 Sherri Lynn Reynolds Nurse Anesthetist, Certified Registered 860 Craigmont Ln Nw, Concord, NC 28027-6442 2006-05-25
1801894845 Pamela Elizabeth Chadwick Nurse Anesthetist, Certified Registered 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 2005-07-13
1386647808 Leanne Smith Nurse Anesthetist, Certified Registered 920 Church St N, Concord, NC 28025-2927 2005-05-30
1831712520 Margaret Davis Mcdonell Nurse Anesthetist, Certified Registered 250 Pleasant St, Concord, NH 03301-7559 2020-05-28
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City CONCORD
Zip Code 28025

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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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