RYAN T PICKETT (NPI# 1235769605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235769605 |
| Entity Type | Individual |
| Full Name | RYAN T PICKETT |
| Credential | CRNA |
| Practice Address |
57 N Harrison St Johnson City NY 13790-1476 |
| Mailing Address |
156 Corliss Ave Apt 107 Johnson City NY 13790-2071 |
| Practice Telephone | 6077636000 |
| Mailing Telephone | 6077636735 |
| Mailing Fax Number | 6077636736 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 721044-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260073 | Ryan A Pickett | Counselor | 4355 Paris Gravel Rd, Hannibal, MO 63401-6017 | 2018-10-02 |
| Street Address |
57 N HARRISON ST |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001115 | Matthew Rodgers | Anesthesiology | 57 N Harrison St, Johnson City, NY 13790-1476 | 2018-01-22 |
| 1063970580 | Todd M Kubesh | Nurse Anesthetist, Certified Registered | 57 N Harrison St, Johnson City, NY 13790-1476 | 2019-03-04 |
| 1922565001 | Matthew S Fabian | Nurse Anesthetist, Certified Registered | 57 N Harrison St, Johnson City, NY 13790-1476 | 2019-02-26 |
| 1922563907 | Lindsay Pine | Nurse Anesthetist, Certified Registered | 57 N Harrison St, Johnson City, NY 13790-1476 | 2019-02-05 |
| 1609349919 | Brittney May Vona | Nurse Anesthetist, Certified Registered | 57 N Harrison St, Johnson City, NY 13790-1476 | 2019-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| 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 |
|---|---|---|---|---|
| 1033358544 | Marcos D Demoura | Nurse Anesthetist, Certified Registered | 818 Sunset Dr Ste 103, Johnson City, TN 37604-8310 | 2009-02-09 |
| 1750399127 | Anesthesia and Pain Consultants,p.c. | Nurse Anesthetist, Certified Registered | 1009 Lark St Ste 2, Johnson City, TN 37604-8218 | 2006-08-03 |
| 1669493243 | Margaret Rachel Weston | Nurse Anesthetist, Certified Registered | Corner of Sydney and Lamont, Johnson City, TN 37684 | 2006-07-21 |
| 1093795098 | Ling-ling Shih | Nurse Anesthetist, Certified Registered | 156 Corliss Ave, Suite 107, Johnson City, NY 13790-2060 | 2006-01-18 |
| 1366444028 | Ruben Fuentes | Nurse Anesthetist, Certified Registered | 1111 Sunset Dr, Suite 4, Johnson City, TN 37604-3615 | 2005-08-12 |
| 1811510993 | Susan Cronier | Nurse Anesthetist, Certified Registered | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-05-22 |
| 1235760422 | William James Brant | Nurse Anesthetist, Certified Registered | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-01-28 |
| 1063970580 | Todd M Kubesh | Nurse Anesthetist, Certified Registered | 57 N Harrison St, Johnson City, NY 13790-1476 | 2019-03-04 |
| 1922565001 | Matthew S Fabian | Nurse Anesthetist, Certified Registered | 57 N Harrison St, Johnson City, NY 13790-1476 | 2019-02-26 |
| 1033675780 | Chasity A Huffman | Nurse Anesthetist, Certified Registered | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-02-19 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.