NICHOLAS HALFORD (NPI# 1093349912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093349912 |
| Entity Type | Individual |
| Full Name | NICHOLAS HALFORD |
| Credential | CRNA |
| Practice Address |
1800 E Lake Shore Dr Decatur IL 62521-3810 |
| Mailing Address |
4252 N Regina Rd Decatur IL 62526-1170 |
| Practice Telephone | 2174642966 |
| Mailing Telephone | 2178554162 |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2020-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209.020970 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1800 E LAKE SHORE DR |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041229 | St Marys Hospital Sisters of The Third Order of St Francis | General Acute Care Hospital | 1800 E Lake Shore Dr, Decatur, IL 62521 | 2005-05-24 |
| 1295368207 | Amanda Durbin | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2020-02-18 |
| 1194362392 | Cassie Briggs | Nurse Practitioner | 1800 E Lake Shore Dr, Decatur, IL 62521-3883 | 2019-12-06 |
| 1093351413 | Megan Leech | Advanced Practice Midwife | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-11-20 |
| 1992355812 | Gideon Nkrumah | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3883 | 2019-09-12 |
| 1407417181 | Komal J Patel | Dietitian, Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-06-24 |
| 1760940712 | Emily Ann Foster | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-03-08 |
| 1477010874 | Jennifer Diann Pieper | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-02-22 |
| 1760955298 | Hailey Michelle Williams | Dietitian, Registered | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2019-01-08 |
| 1912479247 | Jamie Marie Queary | Nurse Practitioner | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2018-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| 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 |
|---|---|---|---|---|
| 1366071557 | Kelly A Winter | Nurse Anesthetist, Certified Registered | 780 Hillmont Ave, Decatur, GA 30030-3944 | 2020-04-08 |
| 1346645140 | Phoenix Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 304 Mead Rd, Decatur, GA 30030-3625 | 2014-10-23 |
| 1730444845 | Jason Kish | Nurse Anesthetist, Certified Registered | 3881 E Camelot Cir Apt 302, Decatur, IL 62526-2078 | 2012-07-05 |
| 1396914255 | Lashawn Renee Mccarty | Nurse Anesthetist, Certified Registered | 3848 Cherry Ridge Blvd, Decatur, GA 30034-5050 | 2008-02-25 |
| 1154518264 | Bryan James Dulock | Nurse Anesthetist, Certified Registered | 604 Medical Center Dr, Decatur, TX 76234 | 2007-10-02 |
| 1912061813 | Genia Elizabeth Corum | Nurse Anesthetist, Certified Registered | 1201 7th Street Se, Decatur, AL 35609-2239 | 2006-12-22 |
| 1720173354 | Rachel Gail Harris | Nurse Anesthetist, Certified Registered | 2300 N. Edward, Decatur, IL 62526 | 2006-10-03 |
| 1639262389 | Sharon R Bangert | Nurse Anesthetist, Certified Registered | 2300 N Edward, Decatur, IL 62526 | 2006-10-02 |
| 1316030273 | Amanda Nicole Lovelady Jackson | Nurse Anesthetist, Certified Registered | 1207 7th Street Se, Decatur, AL 35601 | 2006-10-02 |
| 1093821894 | Mary Kathryn Kennedy | Nurse Anesthetist, Certified Registered | 1845 S Fm 51 Unit A-2, Decatur, TX 76234-3764 | 2006-08-22 |
| Find all providers in DECATUR | ||||
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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.