DR. SPENCER JONATHAN GARRISON (NPI# 1649787326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649787326 |
| Entity Type | Individual |
| Full Name | DR. SPENCER JONATHAN GARRISON |
| Credential | CRNA, RN |
| Practice Address |
400 Health Park Blvd St Augustine FL 32086-5784 |
| Mailing Address |
28 Lansing Ln Palm Coast FL 32137-9627 |
| Practice Telephone | 9048195155 |
| Mailing Telephone | 3865590108 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 117527 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 HEALTH PARK BLVD |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801881818 | Emergency Physicians of St. Johns County | Emergency Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2005-09-15 |
| 1245846468 | Nicole Marie Zisman | Internal Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2020-09-22 |
| 1700499522 | Yolanda Campbell | Family Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2020-08-31 |
| 1952912826 | Megan Burke | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5790 | 2020-08-13 |
| 1639709173 | Keith Latasiewicz | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2020-01-23 |
| 1508416991 | Ashley Jarriel Gucwa | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2019-09-17 |
| 1831741925 | Jessica Anne Lindamood | Dietitian, Registered | 400 Health Park Blvd, St Augustine, FL 32086-5790 | 2019-07-10 |
| 1750804662 | Gabrielle Du Sablon | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2017-07-23 |
| 1124540588 | Jessica Marie Johnson | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2017-07-07 |
| 1952838898 | Beau Brian Nacke | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| 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 |
|---|---|---|---|---|
| 1386161099 | Songbird Anesthesia Inc | Nurse Anesthetist, Certified Registered | 1600 N Summer Ridge Ct, St Augustine, FL 32092-3767 | 2017-08-23 |
| 1093784522 | Francis M Mcclarnon | Nurse Anesthetist, Certified Registered | 1400 Hwy Us 1 S, St Augustine, FL 32084-2411 | 2006-03-16 |
| 1699743120 | Ronald J Howes | Nurse Anesthetist, Certified Registered | 709 Pinehurst Pl, St Augustine, FL 32080-5813 | 2006-03-10 |
| 1073510590 | Lucia Webster | Nurse Anesthetist, Certified Registered | 413 Ocean Grove Cir, St Augustine, FL 32080-8722 | 2005-06-30 |
| 1639709173 | Keith Latasiewicz | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2020-01-23 |
| 1942624374 | Kimberly Salvato | Nurse Anesthetist, Certified Registered | 100 Whetstone Pl, Suite 310, St Augustine, FL 32086-5774 | 2014-02-05 |
| 1205122777 | Rebekah French Walker | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2011-06-23 |
| 1205010394 | Ryan Alan Rutledge | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, Lighthouse Anesthesiology Consultants, St Augustine, FL 32086-5784 | 2007-12-25 |
| 1962602003 | First Coast Anesthesia Consultants Pa | Nurse Anesthetist, Certified Registered | 1400 Us Highway 1 S, St Augustine, FL 32084-4211 | 2007-07-18 |
| 1801927207 | Elaine Militello | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2007-03-08 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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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.