BEVERLY-JEAN BRISKO (NPI# 1376556258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376556258 |
| Entity Type | Individual |
| Full Name | BEVERLY-JEAN BRISKO |
| Other Name | BEVERLY BRISKO |
| Credential | CRNA |
| Practice Address |
3990 John R St Detroit MI 48267-0001 |
| Mailing Address |
Po Box 67000 Dept 203401 Detroit MI 48267-0002 |
| Practice Telephone | 9524429770 |
| Practice Fax Number | 9524423630 |
| Mailing Telephone | 9524429770 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2011-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704120347 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS OF MI | BB120347 | 01 |
| MI | 104486284 | 05 |
| Street Address |
3990 JOHN R ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48267-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619959707 | Candice Garwood | Pharmacist | 3990 John R St, Department of Pharmacy, Detroit, MI 48201-2018 | 2005-11-15 |
| 1396342085 | Tzu-bou Hsieh | Obstetrics & Gynecology | 3990 John R St, Detroit, MI 48201-2018 | 2020-10-06 |
| 1558976928 | Ashley Mary Asmar | Nurse Practitioner | 3990 John R St, Detroit, MI 48201-2018 | 2020-09-12 |
| 1871102574 | Adam Ryan Mills | Registered Nurse | 3990 John R St, Detroit, MI 48201-2018 | 2020-07-28 |
| 1033734082 | Sean Lang | Pharmacist | 3990 John R St, Detroit, MI 48201-2018 | 2020-06-15 |
| 1568084259 | Carly Victoria Burns | Pharmacist | 3990 John R St, Detroit, MI 48201-2018 | 2020-05-15 |
| 1154941805 | Dustin David Reykdal | Student in an Organized Health Care Education/Training Program | 3990 John R St, Detroit, MI 48201-2018 | 2020-04-23 |
| 1902426513 | Merva N. Gilani | Student in an Organized Health Care Education/Training Program | 3990 John R St, Detroit, MI 48201-2018 | 2020-04-23 |
| 1659991271 | Elisabeth Lederman Wong | Student in an Organized Health Care Education/Training Program | 3990 John R St, Detroit, MI 48201-2018 | 2020-04-23 |
| 1366080640 | Joel David Ziettlow | Nurse Anesthetist, Certified Registered | 3990 John R St, Detroit, MI 48201-2018 | 2019-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447217419 | Claude Johnson | Nurse Anesthetist, Certified Registered | 6071 W Outer Dr, Detroit, MI 48267-0001 | 2006-04-26 |
| 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 |
|---|---|---|---|---|
| 1891352464 | Amanda Lori Cremeens | Nurse Anesthetist, Certified Registered | 4707 Saint Antoine St Ste E510, Detroit, MI 48201-1427 | 2019-05-20 |
| 1003355934 | Kurt Belen | Nurse Anesthetist, Certified Registered | 10814 Duprey St, Detroit, MI 48224-1295 | 2017-02-12 |
| 1891153672 | Elizabeth Smith | Nurse Anesthetist, Certified Registered | 232 E Palmer St, Apt #5, Detroit, MI 48202-3857 | 2016-02-08 |
| 1750748869 | Joshua Olson | Nurse Anesthetist, Certified Registered | 2945 Burns St, Detroit, MI 48214-1800 | 2016-01-20 |
| 1871959395 | Bianca Fields | Nurse Anesthetist, Certified Registered | 20271 Murray Hill St, Detroit, MI 48235-2130 | 2016-01-13 |
| 1205230315 | Jason Amador | Nurse Anesthetist, Certified Registered | 301 E Palmer St, Detroit, MI 48202-3823 | 2014-10-17 |
| 1609012590 | Lashonda Tiyon Turner | Nurse Anesthetist, Certified Registered | 3663 Woodward Ave, 200, Detroit, MI 48201-2445 | 2008-12-23 |
| 1518013044 | Michael Ford | Nurse Anesthetist, Certified Registered | 1 Ford Pl # 4e, Detroit, MI 48202-3450 | 2007-01-26 |
| 1154367399 | Margarete Holmes-ross | Nurse Anesthetist, Certified Registered | 244 Arden Park Blvd, Detroit, MI 48202-1302 | 2006-06-22 |
| 1760477871 | John Mckay Perkowski | Nurse Anesthetist, Certified Registered | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2005-09-14 |
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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.