MARIAH KELLY (NPI# 1194282541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194282541 |
| Entity Type | Individual |
| Full Name | MARIAH KELLY |
| Credential | APRN, CRNA |
| Practice Address |
404 W Fountain St Albert Lea MN 56007-2437 |
| Practice Telephone | 5073732384 |
| Mailing Telephone | 5073732384 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2323 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427210 | Mariah Kelly | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-10-03 |
| Street Address |
404 W FOUNTAIN ST |
| City | ALBERT LEA |
| State | MN |
| Zip Code | 56007-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078165 | Robert A. Mott | Emergency Medicine | 404 W Fountain St, Emergency Department, Albert Lea, MN 56007-2437 | 2005-10-26 |
| 1487267910 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2020-08-25 |
| 1033736624 | Megan Thompson | Nurse Practitioner | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2020-06-29 |
| 1154883346 | Shaina Rae Archer | Family Medicine | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2019-04-05 |
| 1477025443 | Kristin Charlene Ferris-thompson | Pharmacist | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2019-01-01 |
| 1932675352 | Melissa Johnson Bertelson | Nurse Practitioner | 404 W Fountain St, Albert Lea, MN 56007 | 2018-10-24 |
| 1629544598 | Krista Renee Steffl | Pharmacist | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2018-10-18 |
| 1174006563 | Christopher Ray Lee | Nurse Practitioner | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2018-09-11 |
| 1699261610 | Mary Ann Ellis | Nurse Practitioner | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2018-07-02 |
| 1689188351 | Susan Lea Andersen | Nurse Practitioner | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2017-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700395860 | Kelsey Paulson | Massage Therapist | 1629 West Main Street, Touchworks Massage Skyline Plaza, Albert Lea, MN 56007 | 2017-09-21 |
| 1366984536 | Allied Health Care Professional Service Corporation | Health Maintenance Organization | 140 W Clark St, Albert Lea, MN 56007 | 2016-11-05 |
| 1174875165 | Michael Gene White | Pharmacist | 1615 West Main St, Albert Lea, MN 56007 | 2012-10-15 |
| 1841596384 | Elizabeth Jordan Berg | Chiropractor | 72599 220th St, Albert Lea, MN 56007 | 2011-02-01 |
| 1235453606 | Michael Aaron Starner | Physician Assistant | 404 W Fountain St Unit 516, Albert Lea, MN 56007 | 2010-03-15 |
| 1215149364 | John M Enger, Professional Association | Podiatrist | 904 E Plaza Street, Albert Lea, MN 56007 | 2007-05-03 |
| 1760532485 | Lowell Wherry Barr | Pediatrics | 203 W Clark, Albert Lea, MN 56007 | 2007-01-12 |
| 1073688917 | Wendy Elizabeth Walker | Psychologist | 117 South Newton Avenue, Albert Lea, MN 56007 | 2006-11-22 |
| 1487739090 | Rem Woodvale Inc | Intermediate Care Facility, Mentally Retarded | 1204 Plainview Lane, Albert Lea, MN 56007 | 2006-10-25 |
| 1275621294 | Eleanor Wanden | Technician | 1815 Minnesota Ave, Albert Lea, MN 56007 | 2006-10-11 |
| Find all providers in zip 56007 | ||||
| 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 |
|---|---|---|---|---|
| 1790964039 | Lisa Yvonne Kunkel | Nurse Anesthetist, Certified Registered | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2007-11-02 |
| 1114027471 | Mary Ann Grayden | Nurse Anesthetist, Certified Registered | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2006-09-25 |
| 1265411441 | Harry Doyle Robison | Nurse Anesthetist, Certified Registered | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2006-01-16 |
| 1417936683 | Judith L Myers | Nurse Anesthetist, Certified Registered | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2006-01-16 |
| 1336128511 | Alice Ann Schrad | Nurse Anesthetist, Certified Registered | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2006-01-16 |
| 1699754093 | Richard Allen Buringa | Nurse Anesthetist, Certified Registered | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241364 | Jl Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 13359 Isle Dr Ste 1, Baxter, MN 56425-2223 | 2020-09-23 |
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1699306100 | Westpacific Westpac Anesthesia-anesthesia Consultants of Minnesot | Nurse Anesthetist, Certified Registered | 9825 Hospital Dr Ste 203, Maple Grove, MN 55369-4772 | 2020-02-03 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1952946501 | Wyn Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 991 Sibley Memorial Hwy Ste 202, Saint Paul, MN 55118-5116 | 2019-11-07 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1154894202 | Amy Elizabeth Engstrom | Nurse Anesthetist, Certified Registered | 1411 Premier Dr, Mankato, MN 56001-6076 | 2019-01-10 |
| 1215410311 | Hali Jean Haukos | Nurse Anesthetist, Certified Registered | 640 Jackson St - Mail Stop 13901c, Saint Paul, MN 55101-2502 | 2018-09-13 |
| 1154814580 | Ams Minn Pllc | Nurse Anesthetist, Certified Registered | 13601 80th Cir N Ste 100, Maple Grove, MN 55369-8906 | 2018-06-11 |
| Find all providers with the same taxonomy | ||||
| City | ALBERT LEA |
| Zip Code | 56007 |
Please comment or provide details below to improve the information on MARIAH KELLY.
| 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.