ANGELA LEAKE (NPI# 1336686054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336686054 |
| Entity Type | Individual |
| Full Name | ANGELA LEAKE |
| Credential | CRNA |
| Practice Address |
449 W 23 St Panama City FL 32405 |
| Mailing Address |
Po Box 744524 Atlanta GA 30374-4524 |
| Practice Telephone | 8004372672 |
| Practice Fax Number | 9548511746 |
| Mailing Telephone | 8004372672 |
| Mailing Fax Number | 9548511746 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 9264899 | FL | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APRN9264899 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
449 W 23 ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1144678855 | Faith Olivia Woerner | Behavioral Analyst | 4750 Collegiate Dr., Panama City, FL 32405 | 2016-06-03 |
| Find all providers in zip 32405 | ||||
| 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 |
|---|---|---|---|---|
| 1548705429 | Courtney Strickland | Nurse Anesthetist, Certified Registered | 615 N Bonita Ave Rm 254, Panama City, FL 32401-3623 | 2016-12-30 |
| 1679963854 | Schyler Branton Lang | Nurse Anesthetist, Certified Registered | 5405 Frank Hough Rd, Panama City, FL 32404-3059 | 2015-01-27 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1417395864 | Oliver M Hasek LLC | Nurse Anesthetist, Certified Registered | 202 Doctors Drive, Panama City, FL 32405 | 2013-06-07 |
| 1023223971 | Patricia Ann Yenchi | Nurse Anesthetist, Certified Registered | 2187 Briawood Cir, Panama City, FL 32405-2023 | 2007-05-14 |
| 1235261595 | Amanda Rena Brown | Nurse Anesthetist, Certified Registered | 653 W. 23rd, #284, Panama City, FL 32405 | 2007-03-12 |
| 1932244357 | Nika Shannon Stewart | Nurse Anesthetist, Certified Registered | 801 E 6th St Ste 202, Panama City, FL 32401-3652 | 2007-02-21 |
| 1154461465 | Seaborn Allen Hobbs | Nurse Anesthetist, Certified Registered | 615 N. Bonita Ave, Panama City, FL 32401-3623 | 2007-02-07 |
| 1306983994 | Louis Robert Peters | Nurse Anesthetist, Certified Registered | 615 North Bonita Avenue, Panama City, FL 32412-0515 | 2007-01-31 |
| 1356432785 | Jan Lewis Netherland | Nurse Anesthetist, Certified Registered | 4045 Kristanna Dr, Panama City, FL 32405-3291 | 2006-09-28 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.