JESSICA JONES GOTHAM (NPI# 1518205251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518205251 |
| Entity Type | Individual |
| Full Name | JESSICA JONES GOTHAM |
| Credential | CRNA |
| Practice Address |
500 Cherry St Bluefield WV 24701-3306 |
| Mailing Address |
1563 Stoney Battery Rd Marion VA 24354-6887 |
| Practice Telephone | 3043271656 |
| Mailing Telephone | 2766852751 |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0001206731 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 CHERRY ST |
| City | BLUEFIELD |
| State | WV |
| Zip Code | 24701-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022462 | Stephen Patrick Poolos | Pathology | 500 Cherry St, Bluefield, WV 24701-3306 | 2005-06-01 |
| 1942826250 | Angela Louise Collins | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-06-23 |
| 1417577081 | Miranda Cox | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-04-23 |
| 1346869575 | Maryam Bayat Mokhtari | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-04-08 |
| 1891350179 | Bluefield Hospital Company LLC | Medicare Defined Swing Bed Unit | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-05-02 |
| 1013473438 | Bridget Chinelo Nduka | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-02-11 |
| 1750850319 | Integrated Wv LLC | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1134698798 | Icp West Virginia LLC | Emergency Medicine | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1801361399 | Jessica A Compton | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-10-10 |
| 1518451962 | Shariful Alam | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
| 1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
| 1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
| 1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
| Find all providers in zip 24701 | ||||
| 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 |
|---|---|---|---|---|
| 1942301684 | Mary Grace Richmond | Nurse Anesthetist, Certified Registered | 500 Cherry Street, Bluefield, WV 24701 | 2006-09-26 |
| 1750699260 | Bluefield Hbp Medical Group LLC | Nurse Anesthetist, Certified Registered | 500 Cherry St, Bluefield, WV 24701-3306 | 2010-09-17 |
| 1740342310 | Darin Dewayne Stewart | Nurse Anesthetist, Certified Registered | 500 Cherry St, Bluefield Regional Medical Center, Bluefield, WV 24701-3306 | 2006-12-13 |
| 1093899270 | Stephanie L Morrison | Nurse Anesthetist, Certified Registered | 500 Cherry St, Bluefield, WV 24701-3306 | 2006-10-25 |
| 1144303678 | St Luke's Princeton LLC | Nurse Anesthetist, Certified Registered | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2006-10-20 |
| 1437249620 | Jerry D Aldridge | Nurse Anesthetist, Certified Registered | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2006-10-16 |
| 1912097114 | Michael G Cipolat | Nurse Anesthetist, Certified Registered | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2006-10-16 |
| 1063506152 | Thomas J Terrell | Nurse Anesthetist, Certified Registered | 1333 Southview Dr, Bluefield, WV 24701-4317 | 2006-10-03 |
| 1538183322 | Candace H. Blankenship | Nurse Anesthetist, Certified Registered | 500 Cherry St, Bluefield, WV 24701-3306 | 2006-07-26 |
| 1275571556 | Michael Lee Trimmell | Nurse Anesthetist, Certified Registered | 500 Cherry St, Bluefield, WV 24701-3306 | 2006-06-02 |
| Find all providers in BLUEFIELD | ||||
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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.