KEVIN L COLEMAN (NPI# 1023045192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023045192 |
Entity Type | Individual |
Full Name | KEVIN L COLEMAN |
Credential | CRNA |
Practice Address |
811 N Liberty St Boise ID 83704-8703 |
Mailing Address |
Po Box 4008 Portland OR 97208-4008 |
Practice Telephone | 2083234522 |
Mailing Telephone | 5033722740 |
Mailing Fax Number | 5033722754 |
Enumeration Date | 2006-06-26 |
Last Update Date | 2007-11-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | N22476 | ID | Nursing Service Providers |
Y | 367500000X | Nurse Anesthetist, Certified Registered | RNA305A | ID | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528130234 | Kevin B Coleman | Specialist | 1125 Sterling Pl 1e, Brooklyn, NY 11213-2679 | 2006-11-15 |
1396825352 | Kevin Lee Coleman | Physician Assistant | Ambulatory Clinic, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-16 |
1285732008 | Kevin Gerard Coleman | Chiropractor | 194 Groton Rd, Freeville, NY 13068-9413 | 2006-09-20 |
1972977288 | Kevin Coleman | Social Worker | 320 W Temple St, Los Angeles, CA 90012-3208 | 2015-11-24 |
1770920951 | Kevin Gordon Coleman | Acupuncturist | 38 Landing Ave, Smithtown, NY 11787-2711 | 2013-05-29 |
1033552716 | Kevin Coleman | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2013-04-11 |
1336495050 | Kevin N Coleman | Physical Therapist | 3125 Independence Dr, Ste 300b, Birmingham, AL 35209-4168 | 2012-07-31 |
1982819454 | Kevin Maurice Coleman | Internal Medicine | 3643 N Roxboro St, Durham, NC 27704-2702 | 2007-05-10 |
1275667982 | Kevin M Coleman Sr. | Social Worker | 20 Montauk Hwy, Blue Point, NY 11715-1139 | 2007-03-15 |
1750360327 | Kevin A Coleman | Anesthesiology | 13131 Tesson Ferry Rd, Suite #105, Saint Louis, MO 63128-3887 | 2006-01-12 |
Street Address |
811 N LIBERTY ST |
City | BOISE |
State | ID |
Zip Code | 83704-8703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790300812 | Trinity Anesthesia LLC | Nurse Anesthetist, Certified Registered | 811 N Liberty St, Boise, ID 83704-8703 | 2020-06-15 |
1326454422 | Happy Zone Inc. | Nurse Anesthetist, Certified Registered | 811 N Liberty St, Boise, ID 83704-8703 | 2014-07-09 |
1376607309 | Emerald Surgical Center LLC | Clinic/Center | 811 N Liberty St, Boise, ID 83704-8703 | 2006-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
Find all providers in zip 83704 |
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 |
---|---|---|---|---|
1134764293 | Steven J Berg Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 360 E Mallard Dr Ste 125, Boise, ID 83706-3941 | 2019-11-13 |
1760584486 | Margaret Minnaert | Nurse Anesthetist, Certified Registered | 1400 W Bannock St, Boise, ID 83702-5233 | 2006-09-02 |
1417065152 | Overton-stiff Professional Anesthesia Service Ltd | Nurse Anesthetist, Certified Registered | 6302 Talcrest, Boise, ID 83713-1207 | 2006-08-25 |
1891803482 | Walter R Fetterley II | Nurse Anesthetist, Certified Registered | 621 Reserve St, Boise, ID 83712-6354 | 2006-08-25 |
1326155698 | Rocky N Vulgamore | Nurse Anesthetist, Certified Registered | 5583 N Crimson Way, Boise, ID 83703-2840 | 2006-08-24 |
1801802376 | Sherry Elizabeth Swearngin | Nurse Anesthetist, Certified Registered | 1698 E Seaport Ct, Boise, ID 83706-6333 | 2006-08-01 |
1093736290 | Betty Jean Brosh-schoenecker | Nurse Anesthetist, Certified Registered | 10447 W Bucktail Dr, Boise, ID 83714-9522 | 2006-07-22 |
1477583649 | Derek G Dennis | Nurse Anesthetist, Certified Registered | 2537 W State St, Boise, ID 83702-2200 | 2006-07-04 |
1851369805 | Willam Heady | Nurse Anesthetist, Certified Registered | 7154 W State St #369, Boise, ID 83714-7421 | 2006-03-08 |
1710980537 | Christopher J Sours | Nurse Anesthetist, Certified Registered | 501 W Fort St, Boise, ID 83702-4502 | 2005-05-24 |
Find all providers in BOISE |
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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.