NIT KHAMVONGS (NPI# 1316038532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316038532 |
| Entity Type | Individual |
| Full Name | NIT KHAMVONGS |
| Credential | CRNA |
| Practice Address |
1613 N. Harrison Parkway Sunrise FL 33323 |
| Mailing Address |
Po Box 452317 Sunrise FL 33345-2317 |
| Practice Telephone | 9548382371 |
| Practice Fax Number | 9548511746 |
| Mailing Telephone | 9548382371 |
| Mailing Fax Number | 9548511746 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2015-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 9232218 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9232218 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 307376900 | 05 |
| Street Address |
1613 N. HARRISON PARKWAY |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912983123 | Maria Carmen Antigua | Pediatrics | 1613 N. Harrison Parkway, Sunrise, FL 33323 | 2005-12-20 |
| 1588086300 | Sheridan Clinical Research, Inc. | Specialist | 1613 N. Harrison Parkway, Building C, Suite 200, Sunrise, FL 33323-2896 | 2014-01-14 |
| 1396099859 | Bradley Bieberberg | Anesthesiologist Assistant | 1613 N. Harrison Parkway, Suite 200, Sunrise, FL 33323-2853 | 2012-11-06 |
| 1881947190 | Leon Beaulieu | Anesthesiologist Assistant | 1613 N. Harrison Parkway, Suite 200, Sunrise, FL 33323-2853 | 2012-10-24 |
| 1407175292 | Donna M. Durham | Nurse Practitioner | 1613 N. Harrison Parkway, Ste 200, Sunrise, FL 33323-2896 | 2010-05-19 |
| 1811136237 | Darcie Lynne Deangelis | Nurse Anesthetist, Certified Registered | 1613 N. Harrison Parkway, Sunrise, FL 33323-2853 | 2009-02-09 |
| 1821059064 | Saunja S Terrell-burt | Audiologist | 1613 N. Harrison Parkway, #200, Sunrise, FL 33323-2853 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
| 1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
| 1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
| 1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
| 1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
| 1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
| 1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
| Find all providers in zip 33323 | ||||
| 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 |
|---|---|---|---|---|
| 1659918274 | Anry Toni-ann Stewart | Nurse Anesthetist, Certified Registered | 2330 Nw 60th Ave, Sunrise, FL 33313-2941 | 2019-12-02 |
| 1407285273 | Ursula Marie Sheehan | Nurse Anesthetist, Certified Registered | 1500 Concord Ter Fl 5, Sunrise, FL 33323-2815 | 2013-11-02 |
| 1700017464 | Elizabeth Garcia | Nurse Anesthetist, Certified Registered | 1614 N. Harrison Parkway Suite 200, Sunrise, FL 33323-2896 | 2009-07-29 |
| 1750519096 | Erin C Meeroff | Nurse Anesthetist, Certified Registered | 2120 Nw 107 Terrace, Sunrise, FL 33322-3418 | 2009-06-25 |
| 1831246685 | Jennifer Paige Ross | Nurse Anesthetist, Certified Registered | 2460 E Aragon Blvd Unit 2, Sunrise, FL 33313-8054 | 2007-01-04 |
| 1063517951 | Donna D. Clifton | Nurse Anesthetist, Certified Registered | 1613 North Harrison Parkway, Suite 200, Sunrise, FL 33323-2853 | 2006-09-14 |
| 1952377376 | Nancy J Saucier | Nurse Anesthetist, Certified Registered | 1613 N Harrison Parkway, Suite 200, Sunrise, FL 33323 | 2006-02-25 |
| 1790758472 | Laurie K. Connell | Nurse Anesthetist, Certified Registered | 2120 Nw 107th Ter, Sunrise, FL 33322-3418 | 2006-02-11 |
| 1427401538 | Brigitte Lacombe | Nurse Anesthetist, Certified Registered | 1613 Harrison Pkwy, Suite 200, Sunrise, FL 33323-2896 | 2016-07-13 |
| 1275985723 | Karen Nayar | Nurse Anesthetist, Certified Registered | 1613 Harrison Pkwy, Sunrise, FL 33323-2896 | 2016-07-08 |
| Find all providers in SUNRISE | ||||
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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.