TINA PEREBZAK (NPI# 1528064631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528064631 |
| Entity Type | Individual |
| Full Name | TINA PEREBZAK |
| Credential | CRNA |
| Practice Address |
6000 West Creek Rd Ste 10 Independence OH 44131-2182 |
| Practice Telephone | 2169861309 |
| Practice Fax Number | 2169861191 |
| Mailing Telephone | 2169861309 |
| Mailing Fax Number | 2169861191 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2012-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | NA-06677 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2296037 | 05 | |
| OH | ANTHEM PIN | 000000328397 | 01 |
| Street Address |
6000 WEST CREEK RD STE 10 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| 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 |
|---|---|---|---|---|
| 1306248604 | Mary Sandra Lathrem | Nurse Anesthetist, Certified Registered | 1916 James Downey Rd, Independence, MO 64057-1054 | 2014-09-18 |
| 1700145570 | Tera Michelle Helding | Nurse Anesthetist, Certified Registered | 19600 E 39th Street South, Independence, MO 64057 | 2012-05-14 |
| 1578522082 | Bryan Andrew Woodworth | Nurse Anesthetist, Certified Registered | 19600 East 39th Street, Centerpoint Medical Center, Independence, MO 64057-2301 | 2006-03-22 |
| 1285612218 | Janice M Seever | Nurse Anesthetist, Certified Registered | 4801 Cliff Ave, Ste 101, Independence, MO 64055 | 2006-01-09 |
| 1104273317 | Angelique Irene Carroll | Nurse Anesthetist, Certified Registered | 19600 E 39th St S, Independence, MO 64057-2301 | 2016-05-17 |
| 1861812968 | Brandon Lee Seller | Nurse Anesthetist, Certified Registered | 19600 E 39th St S, Independence, MO 64057-2301 | 2014-04-16 |
| 1194062471 | Holly Christina Stubbs | Nurse Anesthetist, Certified Registered | 4741 S Cochise Dr, Independence, MO 64055-6974 | 2013-01-07 |
| 1033487608 | Alan Peter Jensen | Nurse Anesthetist, Certified Registered | 19600 E 39th St S, Independence, MO 64057-2301 | 2011-12-09 |
| 1609969583 | David S Johnson | Nurse Anesthetist, Certified Registered | 4801 Cliff Ave, Suite 101 Eye Surgery Center The Cliffs, Independence, MO 64055 | 2006-10-02 |
| 1417064957 | Mercy Kansas Communities Inc | Nurse Anesthetist, Certified Registered | 800 W Myrtle St, Independence, KS 67301-3240 | 2006-08-23 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
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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.