JILL ANN SULAK (NPI# 1508092719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508092719 |
| Entity Type | Individual |
| Full Name | JILL ANN SULAK |
| Credential | CRNA |
| Practice Address |
3702 Automation Way Ste 103 Fort Collins CO 80525-5738 |
| Practice Telephone | 9702242985 |
| Practice Fax Number | 5123432745 |
| Mailing Telephone | 9702242985 |
| Mailing Fax Number | 9702231118 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C-APN.0000425-C- | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 768178 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3702 AUTOMATION WAY STE 103 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389613 | Northern Colorado Anesthesia Professionals Pllc | Anesthesiology | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2005-10-06 |
| 1932723327 | Joshua Schultz | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-06-02 |
| 1639798549 | Adam Weber | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-04-10 |
| 1215560552 | Bradley Ryan Karpowitz | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-02-14 |
| 1346872199 | Amanda Halverson | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-02-10 |
| 1427688308 | Zachary Murphy | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-01-20 |
| 1386283257 | Adam Selzler | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2019-12-24 |
| 1437795218 | Jennifer M Lee | Registered Nurse | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2019-11-27 |
| 1851936512 | Zachary Edward Skinner | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2019-11-16 |
| 1427692631 | Samantha Wagnon | Registered Nurse | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2019-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1659662880 | Lawanda Kaye Poss | Nurse Anesthetist, Certified Registered | 600 South St, Fort Collins, CO 80523-0001 | 2011-04-21 |
| 1114064839 | Cindi D Harding | Nurse Anesthetist, Certified Registered | 2044 Scarecrow Road, Fort Collins, CO 80525 | 2007-01-31 |
| 1316023435 | Amy Rebecca Davignon | Nurse Anesthetist, Certified Registered | 5106 Northern Lights Dr, Fort Collins, CO 80528-4502 | 2006-10-31 |
| 1588652762 | Carrie Therese Hecker | Nurse Anesthetist, Certified Registered | 924 Richmond Dr Unit 2, Suite 1, Fort Collins, CO 80526-5925 | 2005-10-11 |
| 1932723327 | Joshua Schultz | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-06-02 |
| 1639798549 | Adam Weber | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-04-10 |
| 1215560552 | Bradley Ryan Karpowitz | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-02-14 |
| 1346872199 | Amanda Halverson | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-02-10 |
| 1760013668 | Donald Mccrary | Nurse Anesthetist, Certified Registered | 3702 Automation Way, Fort Collins, CO 80525-5737 | 2020-01-29 |
| 1427688308 | Zachary Murphy | Nurse Anesthetist, Certified Registered | 3702 Automation Way Ste 103, Fort Collins, CO 80525-5738 | 2020-01-20 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on JILL ANN SULAK.
| 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.