MR. TREVOR R WILLARDSON (NPI# 1437417748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437417748 |
| Entity Type | Individual |
| Full Name | MR. TREVOR R WILLARDSON |
| Credential | CRNA |
| Practice Address |
400 West 16th Pueblo CO 81003-2828 |
| Mailing Address |
1218 North Main St. Pueblo CO 81003-2828 |
| Practice Telephone | 7195844420 |
| Mailing Telephone | 7195437877 |
| Mailing Fax Number | 7195437882 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRA100105 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 WEST 16TH |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| 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 |
|---|---|---|---|---|
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1245620830 | Tori Taylor | Nurse Anesthetist, Certified Registered | 112 W D St Ste 210-a, Pueblo, CO 81003-3461 | 2015-02-03 |
| 1790979219 | Elizabeth Gillum Wentling | Nurse Anesthetist, Certified Registered | 408 N Main St Fl 2, Pueblo, CO 81003 | 2007-08-28 |
| 1881899755 | Serena M. Ackerman | Nurse Anesthetist, Certified Registered | 400 West 16th Street, Pueblo, CO 81003-2745 | 2007-06-19 |
| 1255432555 | Leah Sue Carpenter | Nurse Anesthetist, Certified Registered | 1218 N Main St, Pueblo, CO 81003-2828 | 2006-09-26 |
| 1598794190 | Rex Lawrence Dillehay | Nurse Anesthetist, Certified Registered | 1828 Chianti Ct, Pueblo, CO 81001-9700 | 2006-07-03 |
| 1740248079 | Dena Edmunds | Nurse Anesthetist, Certified Registered | 112 W D St, Suite 210-a, Pueblo, CO 81003-3461 | 2006-05-03 |
| 1730157595 | Craig K Suderman | Nurse Anesthetist, Certified Registered | 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2006-03-09 |
| 1821607938 | Lisa C Carter | Nurse Anesthetist, Certified Registered | 408 N Main St Fl 2, Pueblo, CO 81003-3123 | 2020-07-24 |
| 1467083881 | Erik Matthews Wickstrum | Nurse Anesthetist, Certified Registered | 400 W 16th St, Pueblo, CO 81003-2781 | 2020-02-04 |
| Find all providers in PUEBLO | ||||
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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.