KAYLA BROOKE MAZZANTI (NPI# 1356961114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356961114 |
| Entity Type | Individual |
| Full Name | KAYLA BROOKE MAZZANTI |
| Credential | CRNA |
| Practice Address |
1401 Scott St Apt 411 Little Rock AR 72202-5083 |
| Mailing Address |
11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 |
| Practice Telephone | 8707337033 |
| Mailing Telephone | 5018127215 |
| Mailing Fax Number | 5018127207 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 125824 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | AR | Student, Health Care |
| Street Address |
1401 SCOTT ST APT 411 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-5083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| 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 |
|---|---|---|---|---|
| 1013551480 | Polk Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 5800 W 10th St Ste P1, Little Rock, AR 72204-1700 | 2019-10-29 |
| 1700343324 | Benjamin Jeffrey Spillyards | Nurse Anesthetist, Certified Registered | 22020 Dixie Rd, Little Rock, AR 72223-9269 | 2019-03-01 |
| 1629467535 | Justin M Bond | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr # Drive7, Little Rock, AR 72205-6321 | 2015-01-15 |
| 1275877110 | Danesthesia Inc | Nurse Anesthetist, Certified Registered | 29111 Bandy Rd, Little Rock, AR 72223-9384 | 2012-11-15 |
| 1902158645 | Kimberly R Bhama | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr Dept Of, Little Rock, AR 72205-6321 | 2012-10-04 |
| 1619233475 | John S Sims Jr. | Nurse Anesthetist, Certified Registered | 251 Dawson Springs Rd, Little Rock, AR 72210-5544 | 2012-04-05 |
| 1548539596 | Sarah E Hefley | Nurse Anesthetist, Certified Registered | 3219 Rocky Ct, Little Rock, AR 72227-3105 | 2011-12-21 |
| 1649378381 | Ellen Shollmier | Nurse Anesthetist, Certified Registered | 8 Laval Ct, Little Rock, AR 72223-8903 | 2006-09-20 |
| 1699784348 | Danny Mack Ballard | Nurse Anesthetist, Certified Registered | 4300 West 7th Street, Central Arkansas Vhs, Little Rock, AR 72205-9918 | 2006-08-05 |
| 1629008305 | Carol Ann Cruthis | Nurse Anesthetist, Certified Registered | 13211 Saint Charles Blvd, Little Rock, AR 72211-2113 | 2006-07-05 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72202 |
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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.