JACKIE HARRISON (NPI# 1508334160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508334160 |
| Entity Type | Individual |
| Full Name | JACKIE HARRISON |
| Credential | CRNA |
| Practice Address |
2213 Cherry St Toledo OH 43608-2603 |
| Practice Telephone | 4192514715 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 313425 | OH | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 019798 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902295306 | Jackie Harrison | Counselor | 12708 Wayzata Blvd, Suite 412, Minnetonka, MN 55305-1916 | 2015-01-22 |
| Street Address |
2213 CHERRY ST |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778837 | Theodore M Braun | Surgery | 2213 Cherry St, 1st Floor, Toledo, OH 43608-2603 | 2005-05-23 |
| 1902403579 | Christopher Robert Colter | Registered Nurse | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-10-06 |
| 1235736943 | Tessa Shea Palazzolo | Registered Nurse | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-10-06 |
| 1952916363 | Courtney Bea May | Social Worker | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-09-11 |
| 1083234975 | Landon Ryan Bowerbank | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-21 |
| 1255951380 | Sanju Riti Wadhwa | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-18 |
| 1770102360 | Mohinder Kaur Gill | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1093334773 | Swathi Yarlagadda | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1558980326 | Jillian Sampair | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1427677129 | Huda Fatima | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
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| 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 |
|---|---|---|---|---|
| 1306380191 | Kristi Marie Radwan | Nurse Anesthetist, Certified Registered | 3155 Rocksberry Ave, Toledo, OH 43614 | 2016-12-13 |
| 1831587617 | Leon Victor Chagolla II | Nurse Anesthetist, Certified Registered | 2751 Kingsford Dr, Toledo, OH 43614-4416 | 2015-01-02 |
| 1003233222 | John Scribner | Nurse Anesthetist, Certified Registered | 4452 Cullen Ln, Toledo, OH 43611-2047 | 2014-03-26 |
| 1437382017 | Steven Allen Ihrke | Nurse Anesthetist, Certified Registered | 2901 N Reynolds Rd, Toledo, OH 43615-2035 | 2009-08-28 |
| 1588295216 | Kayla M Spotts | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-31 |
| 1306486717 | Amanda Helen Priebe | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-14 |
| 1851931745 | Kevin Lim | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-09 |
| 1104466093 | Darlene S Casterwiler | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-09 |
| 1063052033 | Stephanie S Leonard | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-08 |
| 1467092387 | Alec Nicholas Duncan | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-01-08 |
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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.