AMY RENEE BEASLEY (NPI# 1407159189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407159189 |
| Entity Type | Individual |
| Full Name | AMY RENEE BEASLEY |
| Credential | CRNA |
| Practice Address |
1 Jarrett White Road Tripler Army Medical Center Honolulu HI 96859 |
| Mailing Address |
1294d Moanalualani Court Honolulu HI 96819 |
| Practice Telephone | 7577391215 |
| Mailing Telephone | 7577391215 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0001168707 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858988 | Amy Christine Beasley | Counselor | 1120 W Broad St Ste B, Dunn, NC 28334-4605 | 2019-12-11 |
| Street Address |
1 JARRETT WHITE ROAD TRIPLER ARMY MEDICAL CENTER |
| City | HONOLULU |
| State | HI |
| Zip Code | 96859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312249 | David Allen Lane | Family Medicine | 1 Jarrett White Road, Headquarters Unit, Tripler Army Medical Center, Honolulu, HI 96859-5000 | 2005-08-10 |
| 1811533136 | Lasheika Banks | Registered Nurse | 1 Jarrett White Road, Honolulu, ID 96707 | 2019-11-21 |
| 1154776870 | Franchesca Moreau Desriviere | Midwife | 1 Jarrett White Road, Honolulu, HI 96859 | 2016-05-01 |
| 1114279361 | Jason C Metz | Psychologist | 1 Jarrett White Road, Tripler Army Medical Center, Honolulu, HI 96859 | 2012-10-12 |
| 1932465291 | Linda C Ross | Psychologist | 1 Jarrett White Road, Honolulu, HI 96207 | 2012-04-11 |
| 1821360496 | Jessica M Harmon | Psychologist | 1 Jarrett White Road, Psychology, Tamc, Honolulu, HI 96814 | 2012-01-30 |
| 1497043376 | Stephanie C Fournier | Physical Therapist | 1 Jarrett White Road, Honolulu, HI 96859 | 2011-07-13 |
| 1750612768 | Priscilla Rodriguez | Physician Assistant | 1 Jarrett White Road, Neurosurgery Clinic, Honolulu, HI 96859-5000 | 2010-01-15 |
| 1154560076 | Tarita Hughes | Registered Nurse | 1 Jarrett White Road, Honolulu, HI 96859 | 2009-02-17 |
| 1548408354 | Benjaman Wunderlich | Dietitian, Registered | 1 Jarrett White Road, Honolulu, HI 96859-5000 | 2009-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| 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 |
|---|---|---|---|---|
| 1558459131 | Fred Charles Host | Nurse Anesthetist, Certified Registered | 2237 Pauoa Rd, Honolulu, HI 96813-1508 | 2006-10-10 |
| 1528161635 | Fred O. Foster | Nurse Anesthetist, Certified Registered | 311 Ohua Avenue, #601-a, Honolulu, HI 96815-3647 | 2006-09-06 |
| 1376181818 | Julianne Jurjevich | Nurse Anesthetist, Certified Registered | 321 N Kuakini St, Honolulu, HI 96817-2364 | 2019-12-16 |
| 1710441266 | Andrea Kern | Nurse Anesthetist, Certified Registered | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2019-01-29 |
| 1770093650 | Matthew Reggio | Nurse Anesthetist, Certified Registered | 1 Jarrett White Rd, Honolulu, HI 96259 | 2017-10-05 |
| 1316485311 | Sachi Seaburn | Nurse Anesthetist, Certified Registered | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2017-02-09 |
| 1821542341 | Ashton E Paschall | Nurse Anesthetist, Certified Registered | 321 N Kuakini St Ste 306, Honolulu, HI 96817-2360 | 2016-08-12 |
| 1841608643 | Jamie Justine Miltenberger | Nurse Anesthetist, Certified Registered | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2014-07-25 |
| 1730433871 | Brent Anton | Nurse Anesthetist, Certified Registered | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2012-10-26 |
| 1710218300 | Tracy M Greene Langschied | Nurse Anesthetist, Certified Registered | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2010-01-20 |
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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.