MICHELE M MACKENZIE (NPI# 1548469307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548469307 |
| Entity Type | Individual |
| Full Name | MICHELE M MACKENZIE |
| Other Name | MICHELE M LARSON |
| Credential | CRNA |
| Practice Address |
5515 Peach St Erie PA 16509-2603 |
| Mailing Address |
1410 Hardscrabble Blvd Erie PA 16505-2704 |
| Practice Telephone | 8148644031 |
| Mailing Telephone | 8148383793 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2008-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN331682L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 70449 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5515 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263973 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2005-05-31 |
| 1942814546 | Zeinab Altaher | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-09-02 |
| 1669086161 | Mikayla Erin Matheny | Pharmacist | 5515 Peach St, Erie, PA 16509-2695 | 2020-09-02 |
| 1467065615 | Ashley Diane Crandall | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-08-27 |
| 1538787221 | Lex Herwen Barte I | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-08 |
| 1831717826 | Usman Ahmed | Internal Medicine | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-07 |
| 1871110700 | Peter Vincent Finelli | Family Medicine | 5515 Peach St, Erie, PA 16509-2695 | 2020-06-26 |
| 1376160366 | Leng Xiong | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1750908745 | Morgan Michele Gallo | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| 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 |
|---|---|---|---|---|
| 1881911071 | Ireatha Lashonda Wardsworth | Nurse Anesthetist, Certified Registered | 1133 East Laske Road, Erie, PA 16507 | 2010-04-27 |
| 1811214349 | Paula Griesacker | Nurse Anesthetist, Certified Registered | 354 Craig St, Erie, PA 16508-2710 | 2010-04-23 |
| 1134144389 | Damon Waldron | Nurse Anesthetist, Certified Registered | 1264 Columbine Way, Erie, CO 80516-2477 | 2006-07-12 |
| 1184658288 | Jay B Huff | Nurse Anesthetist, Certified Registered | 3205 W 38th St, Erie, PA 16506 | 2006-07-11 |
| 1669429098 | Kara J Crannell | Nurse Anesthetist, Certified Registered | 5473 Village Common Dr Ste 100, Erie, PA 16506-4961 | 2006-05-30 |
| 1790771087 | Claire A Huebner | Nurse Anesthetist, Certified Registered | Upmc Hamot Medical Center 201 State St, Erie, PA 16550 | 2005-09-22 |
| 1275527160 | Krista L. Glaser | Nurse Anesthetist, Certified Registered | 312 W 25th St, Erie, PA 16502-2624 | 2005-09-07 |
| 1427042720 | Ross P. Mayo | Nurse Anesthetist, Certified Registered | 225 W 25th St, Erie, PA 16502-2703 | 2005-09-01 |
| 1568091627 | Brittany Marie Rogerson | Nurse Anesthetist, Certified Registered | 201 State St, Erie, PA 16550-0001 | 2020-04-02 |
| 1972137602 | Sarah Elizabeth Yearwood | Nurse Anesthetist, Certified Registered | 201 State St, Erie, PA 16550-0002 | 2020-03-03 |
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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.