MRS. MARY K NICKEL (NPI# 1225099807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225099807 |
| Entity Type | Individual |
| Full Name | MRS. MARY K NICKEL |
| Credential | CRNA |
| Practice Address |
555 Cheves St Florence SC 29506-2617 |
| Mailing Address |
Po Box 100551 Florence SC 29501-0551 |
| Practice Telephone | 8437778752 |
| Practice Fax Number | 8437778705 |
| Mailing Telephone | 8437778752 |
| Mailing Fax Number | 8437778705 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2013-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APN2130 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | AN1331 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063627529 | Mary Lee Nickel | Acupuncturist | 951 Industrial Road, Suite B, San Carlos, CA 94070 | 2007-05-10 |
| 1679556070 | Mary Ann Nickel | Nurse Practitioner | 6565 France Ave S, Suite 200, Edina, MN 55435-2137 | 2005-11-21 |
| Street Address |
555 CHEVES ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962462945 | Carolyn M Tencza | Nurse Anesthetist, Certified Registered | 555 Cheves St, Florence, SC 29506-2617 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
| Find all providers in zip 29506 | ||||
| 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 |
|---|---|---|---|---|
| 1184162026 | Jenna Mcgovern | Nurse Anesthetist, Certified Registered | 6822 Hillock Ct, Florence, KY 41042-1174 | 2017-02-10 |
| 1699168104 | Michael Sinclair Bolick | Nurse Anesthetist, Certified Registered | 401 S Franklin Dr, Florence, SC 29501-4251 | 2015-03-08 |
| 1174730485 | Pro Soma, Inc. | Nurse Anesthetist, Certified Registered | 3330 Ebenezer Chase Dr, Florence, SC 29501-8006 | 2007-05-17 |
| 1376642447 | Sidney Allen Mckenzie | Nurse Anesthetist, Certified Registered | 1001 W Evans St, Florence, SC 29501-3388 | 2006-09-22 |
| 1154427680 | Charles G Aldridge | Nurse Anesthetist, Certified Registered | 1257 Brittany Dr Apt A, Florence, SC 29501-0249 | 2006-09-15 |
| 1649294828 | Carl Brueggemann Jr. | Nurse Anesthetist, Certified Registered | 8718 Signal Pointe Ct, Florence, KY 41042-8405 | 2006-07-27 |
| 1154345890 | Alan C Rodgers | Nurse Anesthetist, Certified Registered | 2108 Damon Dr, Florence, SC 29505-3302 | 2006-07-26 |
| 1518904473 | Dwight Stephen Blazier | Nurse Anesthetist, Certified Registered | 440 Riverview Cir, Florence, AL 35630-6020 | 2006-06-01 |
| 1710931100 | Ralph Emerson Greene IIi | Nurse Anesthetist, Certified Registered | 362 S Barrington Dr, Florence, SC 29501-8668 | 2006-05-20 |
| 1275594806 | Sollie L Miller | Nurse Anesthetist, Certified Registered | 3326 Stockton Dr, Florence, SC 29501-7360 | 2006-03-31 |
| Find all providers in FLORENCE | ||||
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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.