KRISTINE M WILFONG (NPI# 1588844799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588844799 |
| Entity Type | Individual |
| Full Name | KRISTINE M WILFONG |
| Credential | CRNA |
| Practice Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Mailing Address |
3390 Timberline Dr Clyde MI 48049-4538 |
| Practice Telephone | 8103422000 |
| Mailing Telephone | 8103003863 |
| Mailing Fax Number | 8108244822 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2014-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704217202 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 S BALLENGER HWY |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906934 | Select Specialty Hospital - Flint Inc | Long Term Care Hospital | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2005-07-20 |
| 1255931200 | Rachel Webster | Student in an Organized Health Care Education/Training Program | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-10-29 |
| 1093315442 | Kai A Forte | Nurse Practitioner | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-10-27 |
| 1235756560 | Seth Campbell | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-07-02 |
| 1164049805 | Andrew Peace | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-06-29 |
| 1285250316 | Nischit Baral | Internal Medicine | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-06-24 |
| 1871117457 | Thaer Jamal Farhan | Family Medicine | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2020-05-30 |
| 1902447667 | Adrienne L Dudley | Nurse Practitioner | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-10-03 |
| 1235798083 | Hossein Tabrizi | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-06-06 |
| 1992364731 | Nathanael Adams | Orthopaedic Surgery | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| 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 |
|---|---|---|---|---|
| 1114463379 | Sleepsmith Staffing LLC | Nurse Anesthetist, Certified Registered | 1914 Miller Rd, Flint, MI 48503-4723 | 2017-01-12 |
| 1114200680 | Jane Ranson Maris | Nurse Anesthetist, Certified Registered | 17448 Hillview, Flint, TX 75762-9768 | 2011-09-21 |
| 1790895720 | Elloweese Denise Freer | Nurse Anesthetist, Certified Registered | 1325 S Linden Rd, Flint, MI 48532-3408 | 2006-08-31 |
| 1396851002 | Gustavo Vargas | Nurse Anesthetist, Certified Registered | 18058 Deer Trl, Flint, TX 75762-4000 | 2006-08-23 |
| 1740251982 | Robin E Galazka | Nurse Anesthetist, Certified Registered | 5014 Villalinde Parkway, Flint, MI 48504 | 2006-01-27 |
| 1952916751 | Emily Kinsman LLC | Nurse Anesthetist, Certified Registered | 5014 Villa Linde Pkwy, Flint, MI 48532-3411 | 2020-09-09 |
| 1841836582 | Kelly Holda | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1669018305 | Jason Scholten | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1295371938 | Andrew Michael Deneen | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1104462845 | Zachary Westveer | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| Find all providers in FLINT | ||||
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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.