BETHANY WOOTEN (NPI# 1447645379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447645379 |
Entity Type | Individual |
Full Name | BETHANY WOOTEN |
Practice Address |
10010 Kennerly Rd Saint Louis MO 63128-2106 |
Mailing Address |
Po Box 22407 Saint Louis MO 63126-0407 |
Practice Telephone | 6363867222 |
Practice Fax Number | 6362004036 |
Mailing Telephone | 6363867222 |
Mailing Fax Number | 6362004036 |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-05-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | 2015013955 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10010 KENNERLY RD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-2106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659374908 | Udayshanker Kasinadhuni | Anesthesiology | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2005-05-31 |
1598376287 | Laura Mayer | Dietitian, Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-08-14 |
1265042014 | Caitlin E Wagner | Anesthesiologist Assistant | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-08-06 |
1881215424 | Samantha Broughton | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-05-06 |
1437779444 | Kathleen Stebe | Physical Therapist | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-04-20 |
1073148052 | Carly Pruemer | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
1568097541 | Altan Halici | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
1326673310 | Rhyz Wilson | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
1669007654 | Megan Hahn | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
1851925085 | Katie Walsh | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-02-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
Find all providers in zip 63128 |
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 |
---|---|---|---|---|
1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
1548767783 | Chynna Janae Lorusso | Nurse Anesthetist, Certified Registered | 5321 Shaw Ave, Saint Louis, MO 63110-3023 | 2018-04-12 |
1245644806 | Nicole Fadler Stevens | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz Dept Of, Saint Louis, MO 63110-1003 | 2014-06-11 |
1467711226 | Jacob William Pressler | Nurse Anesthetist, Certified Registered | 725 Tuxedo Blvd, Saint Louis, MO 63119-1946 | 2012-05-14 |
1861718165 | Janna Sue Ford | Nurse Anesthetist, Certified Registered | 1304 Millbay Ct, Saint Louis, MO 63129-3171 | 2010-04-12 |
1407895030 | Scott Jeffrey Weinerth | Nurse Anesthetist, Certified Registered | 6122 Terri Lynn Dr, Saint Louis, MO 63123-1678 | 2006-06-06 |
1518913938 | Annie Mcnulty-jennings | Nurse Anesthetist, Certified Registered | 10535 Landseer Dr, Saint Louis, MO 63136-4530 | 2006-05-26 |
1417906579 | Diane Richter | Nurse Anesthetist, Certified Registered | 3015 N. Ballas Rd., Saint Louis, MO 63160-0001 | 2006-05-08 |
1699723510 | Mark Erwin Holthaus | Nurse Anesthetist, Certified Registered | 10811 Kennerly Rd, Saint Louis, MO 63128-2016 | 2006-05-04 |
1477539351 | Theresa Stearns | Nurse Anesthetist, Certified Registered | 5571 Bartmer Ave., Saint Louis, MO 63112-3406 | 2005-12-21 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63128 |
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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.