MRS. MELISSA A. JORDAN (NPI# 1588984587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588984587 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA A. JORDAN |
| Other Name | MRS. MELISSA A MORNINGSTAR O'CONNELL |
| Credential | CRNA |
| Practice Address |
4011 Talbot Rd. 5th Floor Renton WA 98055 |
| Mailing Address |
P.o. Box 946 Enumclaw WA 98022 |
| Practice Telephone | 4252515100 |
| Practice Fax Number | 4252712561 |
| Mailing Telephone | 2537974908 |
| Mailing Fax Number | 2539394245 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2017-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP60673443 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870215 | Melissa Jordan | Licensed Practical Nurse | 5106 Olde Forest Dr, Greensboro, NC 27406-8718 | 2020-08-06 |
| 1659998078 | Melissa Jordan | Nurse Practitioner | 605 Lincoln Dr, Fredericktown, MO 63645-6200 | 2020-07-01 |
| 1639651359 | Melissa Dawn Jordan | Licensed Vocational Nurse | 17722 Fm 974, Bryan, TX 77808-8780 | 2018-08-29 |
| 1033554738 | Melissa Fett Jordan | Obstetrics & Gynecology | 3100 Fairfield Ave, Unit 10a, Shreveport, LA 71104-4152 | 2013-05-08 |
| 1366753451 | Melissa Jordan | Speech-Language Pathologist | 281 Weed Ave, Staten Island, NY 10306-4772 | 2010-06-23 |
| 1932616059 | Melissa Jordan | Registered Nurse | 1543 Grimmett Dr, Shreveport, LA 71107 | 2018-01-10 |
| 1982058947 | Melissa Rae Jordan | Internal Medicine | 800 Rose St, Lexington, KY 40536-0001 | 2016-04-15 |
| 1396091716 | Melissa Anne Jordan | Nurse Practitioner | 500 W Broadway St Fl 3, Missoula, MT 59802-4008 | 2012-08-03 |
| 1306139373 | Melissa Mobley Jordan | Dentist | 4250 Washington Rd, Evans, GA 30809-3087 | 2011-05-24 |
| 1851529143 | Melissa B Jordan | Acupuncturist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2009-06-25 |
| Street Address |
4011 TALBOT RD. 5TH FLOOR |
| City | RENTON |
| State | WA |
| Zip Code | 98055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1437390960 | Evelyn E.m.o Davies-venn | Audiologist | 4033 Talbot Rd So., #230, Renton, WA 98055 | 2009-03-12 |
| Find all providers in zip 98055 | ||||
| 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 |
|---|---|---|---|---|
| 1538550512 | Quyen T Lee | Nurse Anesthetist, Certified Registered | 4125 Williams Ave N, Renton, WA 98056-2171 | 2015-02-11 |
| 1417069451 | Richard D Clarke | Nurse Anesthetist, Certified Registered | 400 S 3rd St, Renton, WA 98055-2026 | 2006-08-31 |
| 1336784131 | Julia Lysyuk | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2019-11-15 |
| 1881159705 | Rebecca Reinhart | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2019-02-05 |
| 1922498559 | Toan Quoc Nguyen | Nurse Anesthetist, Certified Registered | 400 South 43rd Street, Valley Medical Center Heliport, Renton, WA 98055-5714 | 2015-02-04 |
| 1598085987 | Lynn M Kinnison | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2010-06-08 |
| 1548400518 | Josephine Yang Miller | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2009-03-03 |
| 1477792448 | John Edward Seitzinger | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2009-02-13 |
| 1609015676 | Kelly Sue Knutson | Nurse Anesthetist, Certified Registered | 400 S 43rd St, Renton, WA 98055-5714 | 2009-02-13 |
| 1295980688 | Sunny Marie Ohman | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd S, Ste. 500, Renton, WA 98055-5773 | 2008-11-26 |
| Find all providers in RENTON | ||||
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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.