BONNIE LONGNECKER (NPI# 1033576939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033576939 |
| Entity Type | Individual |
| Full Name | BONNIE LONGNECKER |
| Credential | CRNA |
| Practice Address |
520 E 6th St Odessa TX 79761-4527 |
| Mailing Address |
Po Box 1226 Odessa TX 79760-1226 |
| Practice Telephone | 4323320929 |
| Mailing Telephone | 4323320929 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 723563 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
520 E 6TH ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959089 | Permian Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2005-08-19 |
| 1114557675 | Christi Hill | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-23 |
| 1477183317 | Bradley Boyd Massey | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-20 |
| 1780224329 | Reid E Ivy | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-12 |
| 1275171423 | Kailani Alana Lee Decock | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-12-18 |
| 1528617552 | Liberty Dawn Mitchell | Licensed Vocational Nurse | 520 E 6th St, Odessa, TX 79761-4527 | 2019-09-11 |
| 1538714076 | Stephanie Renee' Powell | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-08-01 |
| 1285299131 | Permian Premier Health Services Inc | Contractor | 520 E 6th St, Odessa, TX 79761-4527 | 2019-05-07 |
| 1811460330 | Stefanie Hughes | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2019-01-08 |
| 1497240592 | Bienvenido Buaquen Baquirin | Nurse Practitioner | 520 E 6th St, Odessa, TX 79761-4527 | 2018-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
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| 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 |
|---|---|---|---|---|
| 1073663688 | Brooks Ross Greger Jr. | Nurse Anesthetist, Certified Registered | 419 W 5th St, Odessa, TX 79761-5026 | 2007-01-12 |
| 1598727398 | Michael Brian Hays | Nurse Anesthetist, Certified Registered | 2106 Stoneview Rd, Odessa, FL 33556-1772 | 2006-04-05 |
| 1518959089 | Permian Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2005-08-19 |
| 1114557675 | Christi Hill | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-23 |
| 1609406560 | Alan Robinson | Nurse Anesthetist, Certified Registered | 500 W 4th St, Odessa, TX 79761-5001 | 2020-01-20 |
| 1477183317 | Bradley Boyd Massey | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-20 |
| 1780224329 | Reid E Ivy | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2020-01-12 |
| 1194233742 | Jonathan M Davis | Nurse Anesthetist, Certified Registered | 500 W 4th St, Odessa, TX 79761-5001 | 2018-01-17 |
| 1649781667 | Christin Crues | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2017-10-17 |
| 1104278498 | Jordan Crumrine | Nurse Anesthetist, Certified Registered | 520 E 6th St, Odessa, TX 79761-4527 | 2016-07-11 |
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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.