JOHNATHAN TYLER NICHOLLS (NPI# 1639684699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639684699 |
Entity Type | Individual |
Full Name | JOHNATHAN TYLER NICHOLLS |
Credential | CRNA |
Practice Address |
8424 E Shea Blvd Ste 101 Scottsdale AZ 85260 |
Mailing Address |
9424 W Eaton Rd Phoenix AZ 85037-4274 |
Practice Telephone | 4802561520 |
Practice Fax Number | 4804786628 |
Mailing Telephone | 8018082672 |
Enumeration Date | 2017-12-12 |
Last Update Date | 2018-07-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 6566569-3102 | UT | Nursing Service Providers |
Y | 367500000X | Nurse Anesthetist, Certified Registered | 1494 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 390207 | 05 |
Street Address |
8424 E SHEA BLVD STE 101 |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85260 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609134535 | Jay Shah | Anesthesiology | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2012-04-28 |
1265031355 | Laura Anne Hales | Registered Nurse | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2020-10-20 |
1932724796 | Shaju Francis | Registered Nurse | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2020-06-08 |
1124642319 | Lindsey Lee Smith | Registered Nurse | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2020-06-03 |
1457846388 | Jasleen Mohini Kohli | Nurse Anesthetist, Certified Registered | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2018-06-23 |
1316440704 | Airway Management Specialist Pllc | Anesthesiology | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2018-03-13 |
1669989877 | Jarrod Keane Cifra | Registered Nurse | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2018-01-09 |
1871950857 | Megan Larsen | Registered Nurse | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2016-01-22 |
1275911968 | Roy O'neil | Anesthesiology | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2015-05-13 |
1932544665 | Melanie Dawn Adams-boyle | Surgery | 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260-6662 | 2013-05-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
Find all providers in zip 85260 |
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 |
---|---|---|---|---|
1740895994 | Kelli Dee Gleason | Nurse Anesthetist, Certified Registered | 8339 E Vista Dr, Scottsdale, AZ 85250-7321 | 2020-09-14 |
1245621960 | Gastroenterology Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | 7033 E Greenway Pkwy, Suite 250, Scottsdale, AZ 85254-2046 | 2015-02-17 |
1497177232 | John Edwin Langer | Nurse Anesthetist, Certified Registered | 8424 East Shea Blvd., Suite 101, Scottsdale, AZ 85260 | 2014-01-14 |
1689921439 | Joseph A Rodriguez | Nurse Anesthetist, Certified Registered | 8144 E Cactus Rd Ste 800, Scottsdale, AZ 85260-5266 | 2012-08-11 |
1326356650 | Antonio D Moore | Nurse Anesthetist, Certified Registered | 6728 E Grandview Dr, Scottsdale, AZ 85254-5668 | 2010-09-21 |
1629306527 | Carey Catania | Nurse Anesthetist, Certified Registered | 7770 E Camelback Rd, Ste 12, Scottsdale, AZ 85251-2273 | 2009-12-03 |
1447400742 | Frederick Scott Imus | Nurse Anesthetist, Certified Registered | 9023 E Desert Cove Ave Ste 101, Scottsdale, AZ 85260-6779 | 2008-09-23 |
1669677399 | Ann Marie Caldarera Bakker | Nurse Anesthetist, Certified Registered | 8307 E Indianola Ave, Scottsdale, AZ 85251-4801 | 2007-06-21 |
1922025683 | Angela Sees | Nurse Anesthetist, Certified Registered | 10257 E Star of The Desert Dr, Scottsdale, AZ 85255-8621 | 2006-07-17 |
1801839543 | Jerome Nelson Hovey | Nurse Anesthetist, Certified Registered | 15845 N 63rd Pl, Scottsdale, AZ 85254-1968 | 2006-06-13 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85260 |
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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.