ZACHARY HALLIWELL


Address: 969 Lakeland Dr, Jackson, MS 39216-4606
Phone: 6012002000

ZACHARY HALLIWELL (NPI# 1053951194) 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) 1053951194
Entity Type Individual
Full Name ZACHARY HALLIWELL
Credential CRNA
Practice Address 969 Lakeland Dr
Jackson
MS 39216-4606
Mailing Address Po Box 235019
Montgomery
AL 36123-5019
Practice Telephone 6012002000
Enumeration Date 2020-01-07
Last Update Date 2020-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 899108 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 969 LAKELAND DR
City JACKSON
State MS
Zip Code 39216-4606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306843131 Joseph N Candelora Pathology 969 Lakeland Dr, Jackson, MS 39216-4606 2005-07-07
1316554736 Brooke Collins 969 Lakeland Dr, Jackson, MS 39216-4606 2020-09-29
1972117232 William Paul Coe Nurse Practitioner 969 Lakeland Dr, Jackson, MS 39216-4606 2020-09-03
1376157099 Kathryn Taylor Parvin Radiology 969 Lakeland Dr, Jackson, MS 39216-4699 2020-09-01
1235741646 Stephanie H Atkins Student in an Organized Health Care Education/Training Program 969 Lakeland Dr, Jackson, MS 39216-4606 2020-08-18
1063038636 Ayanna Washington Registered Nurse 969 Lakeland Dr, Jackson, MS 39216-4606 2020-06-19
1669092227 Christopher L Stephens Nurse Anesthetist, Certified Registered 969 Lakeland Dr, Jackson, MS 39216-4606 2020-04-23
1578190385 Lindsey Elizabeth Jibol Counselor 969 Lakeland Dr, Jackson, MS 39216-4699 2020-03-24
1801436951 Callie Bridges Nurse Anesthetist, Certified Registered 969 Lakeland Dr, Jackson, MS 39216-4606 2020-01-07
1720624075 Tracy Fritts Dietitian, Registered 969 Lakeland Dr, Jackson, MS 39216-4606 2019-11-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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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
1295232304 Trumania Inc Nurse Anesthetist, Certified Registered 223 Clinton Rd Ste 204, Jackson, CA 95642-2680 2018-04-06
1902287501 Timothy Parrish Nurse Anesthetist, Certified Registered 27 Red Deer Cv, Jackson, TN 38305-6485 2015-06-09
1821345398 Denicia Maria Rankin Nurse Anesthetist, Certified Registered 88 Boyd Dr, Jackson, TN 38305-2152 2012-08-14
1437425717 Sheela Federici Nurse Anesthetist, Certified Registered 545 Rutledge St, Jackson, MI 49203-1113 2012-03-30
1164611240 Yvette George Nurse Anesthetist, Certified Registered 105 F Stonebrook Pl, Jackson, TN 38305 2007-10-15
1194843110 Patricia Lynn Koprivica Nurse Anesthetist, Certified Registered 5919 Amber, Jackson, MI 49201-8389 2007-03-27
1215055454 Eunai Danek Nurse Anesthetist, Certified Registered 2571 Cascade Creek Dr, Jackson, MI 49203-3771 2007-03-26
1508950064 Mark Combs Nurse Anesthetist, Certified Registered 205 North East Ave, Anesthesia Department, Jackson, MI 49201 2006-10-02
1972696516 Lisa Thompson Jackson Nurse Anesthetist, Certified Registered 1500 E. Woodrow Wilson, Jackson, MS 39216 2006-10-02
1932292596 James Gerard Brown Nurse Anesthetist, Certified Registered Foote Hosp., 205 North East Avenue, Jackson, MI 49201-1753 2006-10-02
Find all providers in JACKSON

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City JACKSON
Zip Code 39216

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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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