CRYSTAL SHAWN CLARK (NPI# 1386073070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386073070 |
| Entity Type | Individual |
| Full Name | CRYSTAL SHAWN CLARK |
| Credential | CRNA |
| Practice Address |
240 W Sugar Loaf Rd Tucson AZ 85737-3756 |
| Practice Telephone | 5206036689 |
| Mailing Telephone | 5206036689 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA0988 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581311 | Crystal Clark | Massage Therapist | 12506 Ne 4th Ave Apt 101, North Miami, FL 33161-4668 | 2020-09-01 |
| 1366068470 | Crystal Sherase Clark | Technician | 4429 Grant St Ne, Washington, DC 20019-4739 | 2020-06-24 |
| 1467014894 | Crystal Clark | Chore Provider | 153 Brambury Dr Apt D, Rochester, NY 14621-1820 | 2019-07-06 |
| 1386112050 | Crystal Lynn Clark | Internal Medicine | 12056 224th St, Cambria Heights, NY 11411-2141 | 2018-11-11 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1801259619 | Crystal Clark | Technician, Other | 3400 State St # 750, Salem, OR 97301-5861 | 2016-03-30 |
| 1467829911 | Crystal Lynn Clark | Specialist/Technologist | 1500 Manley St, Dalton High School, Dalton, GA 30720-4088 | 2015-08-31 |
| 1417391160 | Crystal Joan Clark | Nurse Practitioner | 11930 Arbor St Ste 200, Omaha, NE 68144-2998 | 2013-04-24 |
| 1952677700 | Crystal Nache Clark | Counselor | 13902 Sage Thrasher Lane, Riverview, FL 33579 | 2012-03-27 |
| 1639443658 | Crystal A Clark | Chore Provider | 331 Jamestown Ct, Columbus, OH 43228-4030 | 2012-03-08 |
| Street Address |
240 W SUGAR LOAF RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85737-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568959807 | Ama Medical Services Mohamed Coulibaly Dit Fall Sole Mbr | Nurse Practitioner | 11069 N Mountain Breeze Dr, Tucson, AZ 85737 | 2018-04-20 |
| 1174045736 | Mojgan Rezaei | Acupuncturist | 10371 N. Oracle Rd, Suite 101a, Oro Valley, AZ 85737 | 2017-07-14 |
| 1558882977 | Oro Valley Health and Wellness Chiropractic, PC | Chiropractor | 11115 N La Canada, Ste. 155, Oro Valley, AZ 85737 | 2017-07-06 |
| 1912361395 | Shane Durkin | Anesthesiology | 11845 N Cassiopeia Dr, Oro Valley, AZ 85737 | 2016-04-11 |
| 1003239237 | Jay C Wise | Pharmacist | 1682 W Petunia Pl, Tucson, AZ 85737 | 2014-01-23 |
| 1679867048 | Anthony Robert Palmieri | Pharmacist | 10555 N Oracle Rd., Cvs In Target #16217, Oro Valley, AZ 85737 | 2011-06-02 |
| 1215159124 | Ruby Lynn Guyot | Physical Therapist | 809 W. Annandale Way, Oro Valley, AZ 85737 | 2007-05-02 |
| 1255430641 | Joyce A Hagin | Dentist | 10550 N. Lacanada Dr, Suite # 106, Oro Valley, AZ 85737 | 2006-09-21 |
| 1801806294 | Rebecca Anne Franzi-osborne | Internal Medicine | 10515 N. Oracle Road, Suite 185, Oro Valley, AZ 85737 | 2006-08-08 |
| 1558391672 | Eun Joo Oh | Internal Medicine | 555 E Vuelta Caminata Del Rio, Oro Valley, AZ 85737 | 2006-07-04 |
| Find all providers in zip 85737 | ||||
| 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 |
|---|---|---|---|---|
| 1376001925 | Kevin Lee | Nurse Anesthetist, Certified Registered | 305 N Martin Ave, Tucson, AZ 85721-0001 | 2019-03-03 |
| 1669959235 | Erin Galligan | Nurse Anesthetist, Certified Registered | 1501 N Campbell, Tucson, AZ 85721-0001 | 2018-07-25 |
| 1932570728 | Sonya Nicholson | Nurse Anesthetist, Certified Registered | 1267 S Flaxseed Dr, Tucson, AZ 85713-4641 | 2015-10-19 |
| 1972907103 | Chelsea Blaine Ford | Nurse Anesthetist, Certified Registered | 1632 W Avenida De Maximillian, Tucson, AZ 85704-2021 | 2014-10-17 |
| 1003230509 | Jennifer K Krogh | Nurse Anesthetist, Certified Registered | 6028 S Meadow Breeze Dr, Tucson, AZ 85747-6034 | 2014-02-05 |
| 1033457890 | Silvia Galvan Druke | Nurse Anesthetist, Certified Registered | 1501 N Campbell Ave Rm 5301, Tucson, AZ 85724-0001 | 2013-01-29 |
| 1215135595 | Melissa Schwarzenberger | Nurse Anesthetist, Certified Registered | Banner University Medical Center 1501 N Campbell Avenue, Tucson, AZ 85724-0001 | 2007-07-06 |
| 1710099015 | Ellen Marie Shopes | Nurse Anesthetist, Certified Registered | Tucson Va Medical Ctr, 3601 S 6th Avenue, Tucson, AZ 85723-0001 | 2006-08-31 |
| 1710915285 | Stacie Connors | Nurse Anesthetist, Certified Registered | 5632 E 5th St, Tucson, AZ 85711-2444 | 2006-06-30 |
| 1750318978 | Martha Ruth Sutton | Nurse Anesthetist, Certified Registered | 7566n La Cholla Blvd A, Tucson, AZ 85741-2307 | 2006-06-26 |
| Find all providers in TUCSON | ||||
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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.