MRS. KRISTA L COPENHAVER-MACKOWIAK


Address: 613 Crooked Run Rd, Fayetteville, WV 25840
Phone: 3045746027

MRS. KRISTA L COPENHAVER-MACKOWIAK (NPI# 1003964008) 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) 1003964008
Entity Type Individual
Full Name MRS. KRISTA L COPENHAVER-MACKOWIAK
Credential CRNA
Practice Address 613 Crooked Run Rd
Fayetteville
WV 25840
Mailing Address Po Box 1012
Princeton
WV 24740-1012
Practice Telephone 3045746027
Practice Fax Number 3045746027
Mailing Telephone 3045746027
Mailing Fax Number 3045746027
Enumeration Date 2007-01-08
Last Update Date 2009-10-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 48679 WV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 613 CROOKED RUN RD
City FAYETTEVILLE
State WV
Zip Code 25840

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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.

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Competitor

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City FAYETTEVILLE
Zip Code 25840

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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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