TERRY E PUCKETT (NPI# 1336257336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336257336 |
| Entity Type | Individual |
| Full Name | TERRY E PUCKETT |
| Credential | CRNA |
| Practice Address |
145 Newcomb Ave Mount Vernon KY 40456-2728 |
| Practice Telephone | 6062562195 |
| Practice Fax Number | 6062563947 |
| Mailing Telephone | 6062562195 |
| Mailing Fax Number | 6062563947 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2018-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1188A | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 74399510 | 05 | |
| KY | ANTHEM | 000000323242 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Trillium Way, Corbin, KY 40701 | 6065281212 | 6065232547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315178 | Terry Gay Puckett | Specialist/Technologist | 136 Paloma Dr, San Antonio, TX 78212-1771 | 2019-09-16 |
| 1376510222 | Terry Lee Puckett | Preventive Medicine | 24530 Falcon Place Blvd Ste 100, Abingdon, VA 24211-7665 | 2006-02-28 |
| Street Address |
145 NEWCOMB AVE |
| City | MOUNT VERNON |
| State | KY |
| Zip Code | 40456-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457324246 | Rockcastle County Hospital, Inc. | Skilled Nursing Facility | 145 Newcomb Ave, Mount Vernon, KY 40456-2733 | 2006-02-10 |
| 1588270649 | Charles Jeffrey Tyree | Physical Therapy Assistant | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2020-09-23 |
| 1275149353 | Erin King | Occupational Therapist | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2020-09-23 |
| 1598305047 | Thelma Rose Hampton | Nurse Practitioner | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2020-01-13 |
| 1407324247 | Dialysis Clinic Inc | Clinic/Center | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2018-11-09 |
| 1669986758 | Nancy G. Owens | Nurse Practitioner | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2017-11-28 |
| 1740706506 | Kacey Nicely | Nurse Practitioner | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2017-08-14 |
| 1548619984 | Bh Imaging Consulting Pllc | Radiology | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2016-06-07 |
| 1003203423 | Melissa Fain | Pharmacist | 145 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2015-04-23 |
| 1194018689 | Justin Allen Williams | Internal Medicine | 145 Newcomb Ave, Mount Vernon, KY 40456 | 2011-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700274248 | Angela Joy Silva | Counselor | 20 Lovell Court, Mt Vernon, KY 40456 | 2015-01-07 |
| 1992128045 | Health Help Inc | Pharmacy | 116 Progress Drive, Mount Vernon, KY 40456 | 2014-01-27 |
| 1376703017 | Cumberland Valley Dist Health Dept | Public Health or Welfare | 1545 Lake Cumberland Road, Mt Vernon, KY 40456 | 2008-06-16 |
| 1386803401 | Mt Vernon Partials and Dentures | Denturist | 571 Richmond Street, Mt Vernon, KY 40456 | 2008-06-04 |
| 1285817973 | Lloyd L. Cain O.d | Eyewear Supplier (Equipment, not the service) | 205 Richmond Street, Mount Vernon, KY 40456 | 2007-12-17 |
| 1669652210 | Main Street Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 150 Main Street Pharmacy, Mt Vernon, KY 40456 | 2007-11-13 |
| 1952516197 | Suzann Fenton | Specialist | 4192 Wilderness Rd, Mt. Vernon, KY 40456 | 2007-05-11 |
| 1659595304 | Rockcastle County Adult Health Care | Clinic/Center | 1260 S. Wilderness Road, Mount Vernon, KY 40456 | 2007-04-12 |
| 1790909075 | Teresa Blair | Dietitian, Registered | 145 Newcomb Ave., Rockcastle Hospital, Mt Vernon, KY 40456 | 2007-04-11 |
| 1972622066 | Tracy Renee King | Pharmacist | 110 Newcomb Avenue, Mt. Vernon, KY 40456 | 2007-03-28 |
| Find all providers in zip 40456 | ||||
| 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 |
|---|---|---|---|---|
| 1043757487 | Anesthesia Associates of Southern Illinois Surgery Center LLC | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way Ste 200, Mount Vernon, IL 62864-2476 | 2017-01-24 |
| 1952321879 | Kent Alan Fair | Nurse Anesthetist, Certified Registered | 1011 Wilshire Dr, Mount Vernon, IL 62864-2743 | 2006-07-21 |
| 1417984105 | Julie A Aulds | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864-2476 | 2006-06-27 |
| 1689636540 | David L Stittsworth | Nurse Anesthetist, Certified Registered | 17713 E Shadow Lake Rd, Mount Vernon, IL 62864-8136 | 2006-04-05 |
| 1386623494 | Alison E Sanker | Nurse Anesthetist, Certified Registered | 2900 Broadway St, Suite B, Mount Vernon, IL 62864-2341 | 2006-01-17 |
| 1326037052 | Daniel Mark Greenwald | Nurse Anesthetist, Certified Registered | 111 S 13th St, Mount Vernon, WA 98274-4105 | 2005-10-15 |
| 1437719093 | Vincent Coty Compton | Nurse Anesthetist, Certified Registered | 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2019-06-17 |
| 1598320558 | Joshua David Delozier | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864-2476 | 2019-05-06 |
| 1184191363 | Jeanette Ilene Ellis | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864-2476 | 2018-10-25 |
| 1831611334 | Patricia Isabel Calcetto | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2017-07-17 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 40456 |
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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.