LAURA BACON (NPI# 1598711418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598711418 |
| Entity Type | Individual |
| Full Name | LAURA BACON |
| Credential | CRNA |
| Practice Address |
2701 N Decatur Rd Decatur GA 30033-5918 |
| Mailing Address |
2171 W Park Ct Suite A Stone Mountain GA 30087-3555 |
| Practice Telephone | 4045015265 |
| Practice Fax Number | 4045015266 |
| Mailing Telephone | 6785141991 |
| Mailing Fax Number | 6785141993 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 034208 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467605022 | Laura R Bacon | Speech-Language Pathologist | 1 Iris Cir, Beacon, NY 12508-3931 | 2008-10-28 |
| 1588274278 | Laura Jo Bacon | Registered Nurse | 700 Columbine St, Sterling, CO 80751-3728 | 2020-08-06 |
| 1760932651 | Laura Anne Bacon | Nurse Practitioner | 8100 N Davis Hwy, Pensacola, FL 32514-6093 | 2016-10-04 |
| 1316162894 | Laura Lee Bacon | Physical Therapist | 1751 Old Pecos Trail, Suite M, Santa Fe, NM 87505 | 2007-04-17 |
| 1558318469 | Laura Lesa Bacon | Registered Nurse | 650 Joel Drive, Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 | 2006-05-27 |
| Street Address |
2701 N DECATUR RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900697 | Steve M Covington IIi | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2005-05-24 |
| 1275142473 | Jeanne Marie Louise Mirbey | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-24 |
| 1639787708 | Erin Marie Webb | Registered Nurse | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-15 |
| 1730705112 | Amitha Dhingra LLC | Psychiatry & Neurology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-06-22 |
| 1154941714 | John C Haight | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-23 |
| 1871113787 | Chandler Ligas | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-21 |
| 1992334973 | Hannah R Schneiders | Student in an Organized Health Care Education/Training Program | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-02 |
| 1740818814 | Valerie Lynn Rouse Beliard | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-01 |
| 1134757529 | Daniel Dunlap | Physician Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-03-31 |
| 1730714189 | Skye Elizabeth Criswell | Registered Nurse | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| 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 |
|---|---|---|---|---|
| 1366071557 | Kelly A Winter | Nurse Anesthetist, Certified Registered | 780 Hillmont Ave, Decatur, GA 30030-3944 | 2020-04-08 |
| 1346645140 | Phoenix Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 304 Mead Rd, Decatur, GA 30030-3625 | 2014-10-23 |
| 1730444845 | Jason Kish | Nurse Anesthetist, Certified Registered | 3881 E Camelot Cir Apt 302, Decatur, IL 62526-2078 | 2012-07-05 |
| 1396914255 | Lashawn Renee Mccarty | Nurse Anesthetist, Certified Registered | 3848 Cherry Ridge Blvd, Decatur, GA 30034-5050 | 2008-02-25 |
| 1154518264 | Bryan James Dulock | Nurse Anesthetist, Certified Registered | 604 Medical Center Dr, Decatur, TX 76234 | 2007-10-02 |
| 1912061813 | Genia Elizabeth Corum | Nurse Anesthetist, Certified Registered | 1201 7th Street Se, Decatur, AL 35609-2239 | 2006-12-22 |
| 1720173354 | Rachel Gail Harris | Nurse Anesthetist, Certified Registered | 2300 N. Edward, Decatur, IL 62526 | 2006-10-03 |
| 1639262389 | Sharon R Bangert | Nurse Anesthetist, Certified Registered | 2300 N Edward, Decatur, IL 62526 | 2006-10-02 |
| 1316030273 | Amanda Nicole Lovelady Jackson | Nurse Anesthetist, Certified Registered | 1207 7th Street Se, Decatur, AL 35601 | 2006-10-02 |
| 1093821894 | Mary Kathryn Kennedy | Nurse Anesthetist, Certified Registered | 1845 S Fm 51 Unit A-2, Decatur, TX 76234-3764 | 2006-08-22 |
| Find all providers in DECATUR | ||||
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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.