KENEEN CHILDRESS (NPI# 1396289203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396289203 |
Entity Type | Individual |
Full Name | KENEEN CHILDRESS |
Credential | C.S.A |
Practice Address |
12035 Springridge Rd Terry MS 39170-8105 |
Practice Telephone | 6015276290 |
Enumeration Date | 2016-12-12 |
Last Update Date | 2016-12-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
3224 | MS | Technologists, Technicians & Other Technical Service Providers |
Street Address |
12035 SPRINGRIDGE RD |
City | TERRY |
State | MS |
Zip Code | 39170-8105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043851595 | Barbara Sharp | Technician | 2260 Greengable Rd, Terry, MS 39170 | 2019-10-07 |
1356904171 | Hope Healthcare Agency, LLC | In Home Supportive Care | 13252 I-55 South Frontage Road, Terry, MS 39170 | 2019-04-17 |
1093120602 | Fideltyhealthcare | Home Health | 127 Garett Drive, Terry, MS 39170 | 2014-06-23 |
1104258912 | Freds Stores of Tennessee Inc | Pharmacy | 422 W. Cunningham Ave, Terry, MS 39170 | 2013-08-02 |
1083795561 | Terry Discount Drugs | Durable Medical Equipment & Medical Supplies | 128 Cunningham St, Terry, MS 39170 | 2006-10-18 |
1164537197 | Terry Discount Drugs | Pharmacy | 128 Cunningham Ave, Terry, MS 39170-0037 | 2006-08-20 |
1063629376 | Terry Family Medical Clinic | Nurse Practitioner | 120 W Raymond Street, Terry, MS 39170-0970 | 2007-05-17 |
1477650869 | Gloria O Areghan | Nurse Practitioner | 120 W. Raymond Street, Terry, MS 39170-0970 | 2006-09-20 |
1720488968 | Kristi Richards | Physical Therapy Assistant | 316 Lakeover Pl, Terry, MS 39170-4407 | 2014-08-25 |
1467797001 | Whitney William Healthcare, LLC | Internal Medicine | 1290 Caroline Dr, Terry, MS 39170-5000 | 2012-12-08 |
Find all providers in zip 39170 |
Taxonomy Code | 246ZC0007X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Assistant |
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376178954 | Melissa Ann Ranson | Specialist/Technologist, Other | 14200 Deneen Rd, Vancleave, MS 39565-6704 | 2020-03-04 |
1093376998 | Latrice R Spivey | Specialist/Technologist, Other | 9444 Mclemore Cv, Walls, MS 38680-9782 | 2019-06-22 |
1700440732 | Cessalee Nell Williams | Specialist/Technologist, Other | 1905 E Mchenry Rd, Perkinston, MS 39573-3453 | 2019-04-25 |
1164999009 | James Roy Sanderson | Specialist/Technologist, Other | 223 Myrtle St W, Philadelphia, MS 39350-3037 | 2018-10-29 |
1932682879 | Nathan Ladner | Specialist/Technologist, Other | 24816 Saucier Advance Rd, Saucier, MS 39574-8164 | 2018-09-06 |
1497233324 | Kimberly S Evans | Specialist/Technologist, Other | 7016 Oak Cove Dr, Biloxi, MS 39532-5013 | 2018-08-02 |
1740719491 | Lindsay Runnels | Specialist/Technologist, Other | 1000 Highland Colony Pkwy Ste 27202, Ridgeland, MS 39157-2073 | 2017-06-07 |
1013382910 | April Jones | Specialist/Technologist, Other | 11117 Johns Bayou Rd, Vancleave, MS 39565-8857 | 2015-12-03 |
1093102394 | Destini Jones | Specialist/Technologist, Other | 1151 Old Highway 26, Perkinston, MS 39573-5844 | 2015-04-24 |
1962826743 | Surgicalfirst, LLC | Specialist/Technologist, Other | 272 Roy O'neal Rd, Perkinston, MS 39573-3454 | 2014-02-13 |
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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.