GENESIS ANESTHESIA SERVICES, PLLC (NPI# 1316236367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316236367 |
| Entity Type | Organization |
| Organization Name | GENESIS ANESTHESIA SERVICES, PLLC |
| Practice Address |
1059 Neal St Suite B Cookeville TN 38501-0946 |
| Mailing Address |
Po Box 291264 Nashville TN 37229-1264 |
| Practice Telephone | 6156202320 |
| Practice Fax Number | 6156202323 |
| Mailing Telephone | 6156202320 |
| Mailing Fax Number | 6156202323 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | ROBERT A HAMILTON (OWNER) |
| Authorized Official Telephone | 6156202320 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1059 NEAL ST SUITE B |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-0946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669437901 | Dennis L. Cosgrove | Optometrist | 1059 Neal St, Cookeville, TN 38501-0906 | 2006-04-19 |
| 1861042897 | Upper Cumberland Laboratory, LLC | Clinical Medical Laboratory | 1059 Neal St, Cookeville, TN 38501-0946 | 2019-09-11 |
| 1649825829 | Lakita Mae Ramsey | Nurse Practitioner | 1059 Neal St, Cookeville, TN 38501-0946 | 2019-08-05 |
| 1437702834 | Health and Ancillary Services LLC | Family Medicine | 1059 Neal St, Cookeville, TN 38501-0946 | 2019-07-24 |
| 1205488178 | Healthcare Resource Management | Clinic/Center | 1059 Neal St, Cookeville, TN 38501-0946 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1184993248 | Joseph Patrick Hall | Nurse Anesthetist, Certified Registered | 100 W 4th St Ste 310, Cookeville, TN 38501-2474 | 2011-12-20 |
| 1851693444 | Maryhelen M Kemp | Nurse Anesthetist, Certified Registered | 1059 Neal Street, Cookeville, TN 38501 | 2010-12-02 |
| 1801895057 | Matthew Y. Faier | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2005-07-19 |
| 1750854899 | David Matthew Key | Nurse Anesthetist, Certified Registered | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-01-10 |
| 1932445384 | Kristina K Widdifield | Nurse Anesthetist, Certified Registered | 100 W 4th St, Ste 310, Cookeville, TN 38501-2448 | 2012-12-12 |
| 1871730804 | James E Delk | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2009-01-13 |
| 1992988208 | Aaron Matthew Vanderwall | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2007-12-10 |
| 1417137860 | Kristy Lynn Tolbert | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2007-11-13 |
| 1063578797 | Michael Brandon Hardison | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2006-12-28 |
| 1710919980 | Upper Cumberland Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2006-07-07 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.