JANELL DIANNE MARTIN (NPI# 1194910042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194910042 |
| Entity Type | Individual |
| Full Name | JANELL DIANNE MARTIN |
| Other Name | JANELL DIANNE WALDEN |
| Credential | CRNA |
| Practice Address |
6000 Hospital Dr Hannibal MO 63401-6887 |
| Mailing Address |
Po Box 551 Hannibal MO 63401-0551 |
| Practice Telephone | 5732481300 |
| Practice Fax Number | 5732485196 |
| Mailing Telephone | 5732485115 |
| Mailing Fax Number | 5732485196 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | SRA 100003 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 093508 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 71438530 | 05 |
| Street Address |
6000 HOSPITAL DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-6887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669527 | Joel Hassien | Radiology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2005-06-16 |
| 1902431471 | Holly Mae Hardy | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2020-03-05 |
| 1548808454 | Keegan Marie Harvey | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-12-11 |
| 1164066023 | Jessica Nichole Mickels | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-11-04 |
| 1558905414 | Jennifer Gayle Hinds | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-11-04 |
| 1720621154 | Ashley Laine Hodges | Nurse Practitioner | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-10-17 |
| 1043724875 | Blessing Hospital | Hospitalist | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2017-12-01 |
| 1033647417 | Brittain Utah Ladd | Emergency Medicine | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2017-05-30 |
| 1932651650 | Dhp of Mo - Hannibal PC | Surgery | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2016-10-28 |
| 1831541812 | Gary Daniel Peterson | Anesthesiology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2016-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| 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 |
|---|---|---|---|---|
| 1811035231 | Kelley L Maughon | Nurse Anesthetist, Certified Registered | 98 Medical Dr, Hannibal, MO 63401-6885 | 2007-02-01 |
| 1811259955 | Susanne Renee Owens | Nurse Anesthetist, Certified Registered | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2012-06-14 |
| 1528111325 | Steven D Fetzer | Nurse Anesthetist, Certified Registered | 6000 Hospital Dr, Anesthesiology, Hannibal, MO 63401-6887 | 2007-01-18 |
| 1083648513 | Robert Curtis Ahrens | Nurse Anesthetist, Certified Registered | 6000 Hospital Drive, Hannibal, MO 63401-1257 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251066 | Yousra Amor | Nurse Anesthetist, Certified Registered | St Luke's Des Peres Hospital, 2345 Dougherty Ferry Rd, St Louis, MO 63122-3313 | 2020-06-29 |
| 1457970899 | William Moran | Nurse Anesthetist, Certified Registered | 910 Daffodil Ridge Dr, O Fallon, MO 63366-7760 | 2020-04-15 |
| 1437784329 | Apollo Medical Group of Lee's Summit LLC | Nurse Anesthetist, Certified Registered | 2861 Ne Independence Ave Ste 101, Lees Summit, MO 64064-2379 | 2020-03-11 |
| 1780228155 | Olde Cabin Anesthesia | Nurse Anesthetist, Certified Registered | 11525 Olde Cabin Rd Ste 101, Creve Coeur, MO 63141-7146 | 2019-10-29 |
| 1831652049 | Kristin S Turner | Nurse Anesthetist, Certified Registered | 8991 State Highway 171, Carl Junction, MO 64834-6148 | 2019-04-14 |
| 1629536271 | Cameron David Hayter | Nurse Anesthetist, Certified Registered | 1951 N Citation Ave, Springfield, MO 65802-5406 | 2019-03-03 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1548767783 | Chynna Janae Lorusso | Nurse Anesthetist, Certified Registered | 5321 Shaw Ave, Saint Louis, MO 63110-3023 | 2018-04-12 |
| 1689108839 | Todd Aaron Macdonald | Nurse Anesthetist, Certified Registered | 2119 Highlander Dr, Joplin, MO 64804-7005 | 2017-04-14 |
| 1164883468 | James Dwain Holden | Nurse Anesthetist, Certified Registered | 22888 County Road 283, Puxico, MO 63960-7338 | 2016-03-14 |
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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.