KELLY A. NICHOLS (NPI# 1306108824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306108824 |
| Entity Type | Individual |
| Full Name | KELLY A. NICHOLS |
| Credential | CRNA |
| Practice Address |
700 S Park St Madison WI 53715-1830 |
| Practice Telephone | 6082516100 |
| Practice Fax Number | 6082585222 |
| Mailing Telephone | 6082516100 |
| Mailing Fax Number | 6082585222 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 148267 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEALTH INSUCANCE | 61335 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659881530 | Kelly Nichols | Nurse Practitioner | 140 E Delaware Ave, Newark, DE 19711-4605 | 2017-10-05 |
| 1649640764 | Kelly Hannon Nichols | Social Worker | 215 Dawley Rd, Fayetteville, NY 13066-2546 | 2015-10-01 |
| 1578803714 | Kelly M Nichols | Licensed Practical Nurse | 829 Scotch Mountain Rd, Delhi, NY 13753-2321 | 2013-02-26 |
| 1851396691 | Kelly B Nichols | Obstetrics & Gynecology | 8380 N. Tullis Avenue, Suite 300, Ste 310, Kansas City, MO 64158-5114 | 2005-06-17 |
| 1245889005 | Kelly Ann Nichols | Registered Nurse | 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050-5117 | 2019-09-04 |
| 1447709159 | Kelly Nichols | Nurse Practitioner | 2601 Kentucky Ave, Suite 300, Paducah, KY 42003-3817 | 2016-09-23 |
| 1104371418 | Kelly Amanda Merritt Nichols | Nurse Anesthetist, Certified Registered | 5200 Harry Hines Blvd, Dallas, TX 75235 | 2016-08-17 |
| 1235587452 | Kelly Nichols | Behavioral Analyst | 528 E Spokane Falls Blvd, Suite 14, Spokane, WA 99202-5081 | 2016-05-27 |
| 1629462627 | Kelly Nichols | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2015-03-27 |
| 1295093748 | Kelly Ann Nichols | Audiologist | 1001 James St, Syracuse, NY 13203-2789 | 2012-05-02 |
| Street Address |
700 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123003 | Marilyn J Borst | Surgery | 700 S Park St, Madison, WI 53715-1830 | 2005-06-09 |
| 1487266714 | Charlene Jenkins | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-08-18 |
| 1073130480 | Amanda Mcafee | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-07-01 |
| 1235759150 | Edriss Drammeh | Nurse Practitioner | 700 S Park St, Madison, WI 53715-1830 | 2020-04-21 |
| 1700424777 | Elizabeth H Kuhn | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-12-20 |
| 1295373710 | Lauren Nicole Tobasco | Physician Assistant | 700 S Park St, Madison, WI 53715-1830 | 2019-12-16 |
| 1629610795 | Amanda L Schneider | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-10-10 |
| 1366092017 | Mitchell John Wilkins | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-09-16 |
| 1578119285 | Gary Terlizzi | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-08-18 |
| 1699327304 | Ann R Madden | Nurse Anesthetist, Certified Registered | 700 S Park St, Madison, WI 53715-1830 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| 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 |
|---|---|---|---|---|
| 1407478209 | Laura Polk Phillips | Nurse Anesthetist, Certified Registered | 125 Stone Creek Dr, Madison, MS 39110-5058 | 2020-05-14 |
| 1912447913 | Emily R Stewart | Nurse Anesthetist, Certified Registered | 1994 Gallatin Pike N # 102, Madison, TN 37115-2026 | 2017-02-24 |
| 1053790972 | Rest Assured Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1200 John Q Hammons Dr Ste 102, Madison, WI 53717-1967 | 2015-05-26 |
| 1902295124 | William George Turk | Nurse Anesthetist, Certified Registered | 112 Riverchase Blvd, Madison, TN 37115-2031 | 2015-01-12 |
| 1043581770 | Bradley Thomas Wagner | Nurse Anesthetist, Certified Registered | 3314 Leyton Ln, Madison, WI 53713-3407 | 2012-01-26 |
| 1336445329 | Courtney Mcguigan | Nurse Anesthetist, Certified Registered | 41 Edinburgh Ln, Madison, CT 06443-3411 | 2011-02-08 |
| 1841509445 | Tabatha Jo Berry | Nurse Anesthetist, Certified Registered | 420 Throckmorton Rd, Madison, NC 27025-7940 | 2010-09-29 |
| 1538497573 | John Christopher Simmons | Nurse Anesthetist, Certified Registered | 159 Seville Way, Madison, MS 39110-8171 | 2009-12-03 |
| 1821166943 | Therese Marie Donnelly | Nurse Anesthetist, Certified Registered | 76 Genesee Lane, Madison, CT 06443 | 2006-11-30 |
| 1659333201 | Michael G Landgraf | Nurse Anesthetist, Certified Registered | 20 Park Street, Ste #360, Madison, WI 53715 | 2006-04-06 |
| Find all providers in MADISON | ||||
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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.