KELLY ALISA ZIPKO (NPI# 1003298977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003298977 |
| Entity Type | Individual |
| Full Name | KELLY ALISA ZIPKO |
| Other Name | KELLY ALISA VAY |
| Credential | CRNA |
| Practice Address |
17197 Johnston Dr Fort Myers FL 33967-2528 |
| Practice Telephone | 4122604576 |
| Mailing Telephone | 4122604576 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9298353 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17197 JOHNSTON DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33967-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614991 | Michelle Lynn Gerken | Nurse Practitioner | 8141 Pennsylvania Blvd, Fort Myers, FL 33967 | 2018-09-28 |
| 1659892370 | Mary Kathryn Mckeon | Occupational Therapist | 9025 King Rd W, Ft Myers, FL 33967 | 2017-07-03 |
| 1316321003 | Wal-mart Stores East, Lp | Technician/Technologist | 19975 S Tamiami Trail, Fort Myers, FL 33967 | 2015-07-13 |
| 1104970409 | Jennifer J. Paul | Registered Nurse | 17132 Alico Center Road, Suite 1, Fort Myers, FL 33967 | 2007-01-23 |
| 1194750935 | William A. Greider | Dentist | 19004 Birch Rd. Se, Ft. Myers, FL 33967 | 2006-07-11 |
| 1548271869 | Desiree Granados-fischel | Obstetrics & Gynecology | 19348 La Serena Dr, Fort Myers, FL 33967-0525 | 2006-08-11 |
| 1487644555 | Henry Donn Venable | Anesthesiology | 19324 La Serena Dr, Estero, FL 33967-0525 | 2005-10-28 |
| 1407146434 | Barrie Nicole Vilnius | Occupational Therapist | 8815 Largo Mar Dr, Fort Myers, FL 33967-0534 | 2011-04-11 |
| 1760805725 | Hearing Health In Home Care, LLC | Hearing Instrument Specialist | 19760 Maddelena Cir, Fort Myers, FL 33967-0537 | 2014-01-28 |
| 1891110128 | Derick Alexander Winn | Hearing Instrument Specialist | 19760 Maddelena Cir, Fort Myers, FL 33967-0537 | 2014-02-24 |
| Find all providers in zip 33967 | ||||
| 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 |
|---|---|---|---|---|
| 1568924504 | Heebyeong Jang | Nurse Anesthetist, Certified Registered | 13160 Corbel Cir Apt 623, Fort Myers, FL 33907-7891 | 2019-04-01 |
| 1467946855 | Sabrina Anne Betancourt | Nurse Anesthetist, Certified Registered | 1650 Ardmore Rd, Fort Myers, FL 33901-5808 | 2018-06-19 |
| 1730672080 | Marcus Kelley | Nurse Anesthetist, Certified Registered | 8430 Village Edge Cir Apt 4, Fort Myers, FL 33919-2892 | 2018-06-12 |
| 1407347859 | Scott Castellano | Nurse Anesthetist, Certified Registered | 8041 S Woods Cir Unit 7, Fort Myers, FL 33919-2818 | 2018-05-22 |
| 1255852166 | Travis Rademaker | Nurse Anesthetist, Certified Registered | 2780 Cleveland Ave # 428, Fort Myers, FL 33901-5858 | 2017-06-30 |
| 1669825790 | Ivette Del Castillo | Nurse Anesthetist, Certified Registered | 4048 Evans Ave Ste 303, Fort Myers, FL 33901-9390 | 2016-07-13 |
| 1083001788 | Reuben Alimbuyao | Nurse Anesthetist, Certified Registered | 8405 Sumner Ave, Fort Myers, FL 33908-3809 | 2015-04-20 |
| 1245651439 | Anesthesia Partners of Swfl LLC | Nurse Anesthetist, Certified Registered | 8255 College Pkwy Ste 100, Fort Myers, FL 33919-5119 | 2013-12-15 |
| 1679839518 | Rosalie Pirrone | Nurse Anesthetist, Certified Registered | 15225 Briar Ridge Cir, Fort Myers, FL 33912-2304 | 2012-04-04 |
| 1538496237 | Roseanne Tippmann | Nurse Anesthetist, Certified Registered | 8470 Kingbird Loop, Unit 1050, Fort Myers, FL 33967-5769 | 2009-11-17 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33967 |
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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.