CAMERON CHARLES HENDRICKSON


Address: 1406 6th Ave N, Saint Cloud, MN 56303-1900
Phone: 3202512700

CAMERON CHARLES HENDRICKSON (NPI# 1487264164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487264164
Entity Type Individual
Full Name CAMERON CHARLES HENDRICKSON
Practice Address 1406 6th Ave N
Saint Cloud
MN 56303-1900
Mailing Address 930 Steamboat Ln
Montrose
MN 55363-8723
Practice Telephone 3202512700
Mailing Telephone 6052283624
Enumeration Date 2020-08-06
Last Update Date 2020-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 2341314 MN Nursing Service Providers
Y 367500000X Nurse Anesthetist, Certified Registered 2516 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1406 6TH AVE N
City SAINT CLOUD
State MN
Zip Code 56303-1900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336149939 Ralph E Fedor Radiology 1406 6th Ave N, Saint Cloud, MN 56303-1900 2005-07-26
1558962399 Amanda Lee King Nurse Practitioner 1406 6th Ave N, Saint Cloud, MN 56303-1900 2020-11-06
1912512302 Fadumo Hassan Registered Nurse 1406 6th Ave N, Saint Cloud, MN 56303-1900 2020-09-11
1083228092 Kristin Deneille Hazeman Registered Nurse 1406 6th Ave N, Saint Cloud, MN 56303-1901 2020-09-07
1508477845 Taylor Dean Olson Registered Nurse 1406 6th Ave N, Saint Cloud, MN 56303-1900 2020-08-11
1407467749 Traci Jo Salveson Registered Nurse 1406 6th Ave N, Saint Cloud, MN 56303-1900 2020-08-11
1154931475 Megan Ann Brown Nurse Practitioner 1406 6th Ave N, Saint Cloud, MN 56303-1900 2020-08-01
1326657255 Amanda J Dircks Registered Nurse 1406 6th Ave N, Saint Cloud, MN 56303-1900 2020-07-27
1003439241 Mary Elizabeth Amundson Registered Nurse 1406 6th Ave N, Saint Cloud, MN 56303-1900 2020-05-22
1548897978 Casey M Theis Marriage & Family Therapist 1406 6th Ave N, Saint Cloud, MN 56303-1900 2020-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841800463 Daniel P Lahr Radiologic Technologist St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 2020-08-07
1730798398 County of Stearns Case Management 705 Courthouse Square, St Cloud, MN 56303 2020-07-29
1669007126 Aflah Transportation LLC Non-emergency Medical Transport (VAN) 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 2020-03-05
1609420942 Stephanie Lynne Metzger Nurse Practitioner Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 2019-07-25
1306406947 Willow Tree Acupuncture LLC Acupuncturist 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 2019-06-17
1821553520 Alan Melvin Hoeper Nurse Anesthetist, Certified Registered Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 2019-02-06
1437644465 Brianna Larissa Justin Speech-Language Pathologist St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 2018-06-22
1780186486 Simplicity Health Pa Family Medicine 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 2018-03-08
1639682925 Dereje Beyene Respiratory Therapist, Certified 1406 15th Street North, Saint Cloud, MN 56303 2017-11-09
1740792761 Lisa Ann Horner Nurse Practitioner 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 2017-10-31
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598183923 Northland Anesthesia Services LLC Nurse Anesthetist, Certified Registered 2055 15th St N Ste B, Saint Cloud, MN 56303-1543 2014-04-02
1801226923 Scott Bertram Nurse Anesthetist, Certified Registered 1769 Poppy Rd, Saint Cloud, MN 56303-0634 2013-11-26
1477985505 Barbara Jean Quick Nurse Anesthetist, Certified Registered 6358 Oak Shore Dr, Saint Cloud, FL 34771-8641 2013-07-31
1114232766 Gregory S. Erickson Nurse Anesthetist, Certified Registered 1117 7th St N Apt 11, Saint Cloud, MN 56303-3419 2010-08-06
1972695302 Mary C Macleod Nurse Anesthetist, Certified Registered 3701 12th St N Ste 202, Saint Cloud, MN 56303 2006-09-30
1033173695 Penny Renee Janorschke Nurse Anesthetist, Certified Registered 1406 6th St N, Saint Cloud, MN 56303-3305 2006-04-12
1558985747 Bobbi Jo Majerus Nurse Anesthetist, Certified Registered 1526 Northway Dr, Saint Cloud, MN 56303-1255 2020-06-03
1881237840 Laura Anne Karnik Nurse Anesthetist, Certified Registered 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 2019-10-22
1184267445 Vera Gesare Lwanga-zaman Nurse Anesthetist, Certified Registered 1406 6th Ave N, Saint Cloud, MN 56303-1901 2019-10-18
1083256135 Amanda Lynn Braun Nurse Anesthetist, Certified Registered 3701 12th St N Ste 202, Saint Cloud, MN 56303-2253 2019-10-10
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City SAINT CLOUD
Zip Code 56303

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Dataset Information

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.

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