CHARLY SAMANTHA WYLIE (NPI# 1427566678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427566678 |
| Entity Type | Individual |
| Full Name | CHARLY SAMANTHA WYLIE |
| Credential | CRNA |
| Practice Address |
205 Marengo St Florence AL 35630-6033 |
| Mailing Address |
Po Box 10005 Florence AL 35631-2005 |
| Practice Telephone | 2567689191 |
| Practice Fax Number | 2567689775 |
| Mailing Telephone | 2563351643 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1-113371 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Avalon Ave, Muscle Shoals, AL 356612805 | 2563861600 | 2567689775 |
| Street Address |
205 MARENGO ST |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252788 | Warren T Norman | Specialist | 205 Marengo St, Florence, AL 35630-6033 | 2005-06-01 |
| 1922574276 | Lauren Ashton Rhodes | Nurse Practitioner | 205 Marengo St, Florence, AL 35630-6033 | 2018-10-15 |
| 1194238790 | Stacey Monique Barnett | Nurse Practitioner | 205 Marengo St, Florence, AL 35630-6033 | 2017-11-06 |
| 1942747290 | Oliver Pharr Matthews IIi | Nurse Anesthetist, Certified Registered | 205 Marengo St, Florence, AL 35630-6033 | 2017-01-25 |
| 1962947986 | Dana Lawler | Nurse Practitioner | 205 Marengo St, Florence, AL 35630-6033 | 2016-12-29 |
| 1881051365 | Lindsey Mayo Bonner | Nurse Anesthetist, Certified Registered | 205 Marengo St, Florence, AL 35630-6033 | 2016-01-28 |
| 1558728626 | Katelyn Danielle Cresswell | Physician Assistant | 205 Marengo St, Florence, AL 35630-6033 | 2016-01-20 |
| 1902263163 | Joel Sessions | Physician Assistant | 205 Marengo St, Florence, AL 35630-6033 | 2016-01-19 |
| 1750773743 | My Care Alabama, Inc | Case Management | 205 Marengo St, Florence, AL 35630-6033 | 2015-02-27 |
| 1497144976 | Jonathan Burnett Holt | Nurse Anesthetist, Certified Registered | 205 Marengo St, Florence, AL 35630-6033 | 2015-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| 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 |
|---|---|---|---|---|
| 1184162026 | Jenna Mcgovern | Nurse Anesthetist, Certified Registered | 6822 Hillock Ct, Florence, KY 41042-1174 | 2017-02-10 |
| 1699168104 | Michael Sinclair Bolick | Nurse Anesthetist, Certified Registered | 401 S Franklin Dr, Florence, SC 29501-4251 | 2015-03-08 |
| 1174730485 | Pro Soma, Inc. | Nurse Anesthetist, Certified Registered | 3330 Ebenezer Chase Dr, Florence, SC 29501-8006 | 2007-05-17 |
| 1376642447 | Sidney Allen Mckenzie | Nurse Anesthetist, Certified Registered | 1001 W Evans St, Florence, SC 29501-3388 | 2006-09-22 |
| 1154427680 | Charles G Aldridge | Nurse Anesthetist, Certified Registered | 1257 Brittany Dr Apt A, Florence, SC 29501-0249 | 2006-09-15 |
| 1649294828 | Carl Brueggemann Jr. | Nurse Anesthetist, Certified Registered | 8718 Signal Pointe Ct, Florence, KY 41042-8405 | 2006-07-27 |
| 1154345890 | Alan C Rodgers | Nurse Anesthetist, Certified Registered | 2108 Damon Dr, Florence, SC 29505-3302 | 2006-07-26 |
| 1518904473 | Dwight Stephen Blazier | Nurse Anesthetist, Certified Registered | 440 Riverview Cir, Florence, AL 35630-6020 | 2006-06-01 |
| 1710931100 | Ralph Emerson Greene IIi | Nurse Anesthetist, Certified Registered | 362 S Barrington Dr, Florence, SC 29501-8668 | 2006-05-20 |
| 1275594806 | Sollie L Miller | Nurse Anesthetist, Certified Registered | 3326 Stockton Dr, Florence, SC 29501-7360 | 2006-03-31 |
| Find all providers in FLORENCE | ||||
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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.