MRS. JEANETTE SUSAN BERRY (NPI# 1124018486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124018486 |
| Entity Type | Individual |
| Full Name | MRS. JEANETTE SUSAN BERRY |
| Credential | CRNA |
| Practice Address |
222 Tongass Dr Sitka AK 99835-9416 |
| Practice Telephone | 9079668837 |
| Practice Fax Number | 9079668807 |
| Mailing Telephone | 9079668837 |
| Mailing Fax Number | 9079668807 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2009-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 303 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | AP30006997 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033577804 | Jeanette Latise Berry | Counselor | 248 Adley Way, Greenville, SC 29607-6511 | 2016-02-08 |
| Street Address |
222 TONGASS DR |
| City | SITKA |
| State | AK |
| Zip Code | 99835-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021523 | Grant Verhagen | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-18 |
| 1508464751 | Izabella Zora Powers | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-10 |
| 1417555665 | Kevan Abra O'hanlon | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-10 |
| 1992302590 | Reed Andrew Carter | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-06 |
| 1851901763 | Nathan Riley Kraft | Pharmacist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-08-05 |
| 1013532571 | Gregory David Powell | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-06-10 |
| 1477182434 | Jasmine Leigh Esmay | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-04-02 |
| 1639709868 | Kyle William Larson | Behavior Technician | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-01-15 |
| 1124668595 | Nina Mueller | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-01-13 |
| 1508402447 | Cecilia Brenner | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2019-11-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| 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 |
|---|---|---|---|---|
| 1679509103 | James H Mellema | Nurse Anesthetist, Certified Registered | 222 Tongass Dr, Anesthesia Dept, Sitka, AK 99835-9416 | 2006-06-25 |
| 1881645059 | Rachael J Nikkola | Nurse Anesthetist, Certified Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103362 | Jennifer Lichtenberg | Nurse Anesthetist, Certified Registered | 8000 Little Dipper Ave Unit A, Anchorage, AK 99504-4127 | 2020-01-09 |
| 1861032914 | Kenai Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 100 Trading Bay Rd Ste 9, Kenai, AK 99611-7786 | 2020-01-07 |
| 1558840306 | Birch Mountain Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | 114 Minnie St Ste D, Fairbanks, AK 99701-3000 | 2018-08-13 |
| 1043606668 | Alicia Marie Ferguson | Nurse Anesthetist, Certified Registered | 611 Clipper Ship Ct, Anchorage, AK 99515-3623 | 2015-04-09 |
| 1437585833 | Anesthesia Relief Staffing LLC | Nurse Anesthetist, Certified Registered | 235 E 8th Ave, Suite 3a, Anchorage, AK 99501-3615 | 2013-09-18 |
| 1093060170 | Jeremy R Taysom | Nurse Anesthetist, Certified Registered | 2910 E Tamarak Ave, Wasilla, AK 99654-7484 | 2012-07-16 |
| 1235450222 | Adam Christopher Faltersack | Nurse Anesthetist, Certified Registered | 673d Medical Group, 5955 Zeamer Ave, Jber, AK 99506 | 2010-06-14 |
| 1851539670 | Adam H Dalgleish | Nurse Anesthetist, Certified Registered | 3rd Mdg, 5955 Zeamer Avenue, Elmendorf Afb, AK 99506 | 2009-02-02 |
| 1285704155 | Cheri Kay Hutchins | Nurse Anesthetist, Certified Registered | 700 Eddie Hoffman Drive, Bethel, AK 99559 | 2006-11-08 |
| 1457420523 | Christina A Logan | Nurse Anesthetist, Certified Registered | 2303 Tulik Dr, Anchorage, AK 99517-1132 | 2006-11-06 |
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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.