KAITLIN JURCISIN (NPI# 1659824738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659824738 |
Entity Type | Individual |
Full Name | KAITLIN JURCISIN |
Credential | CAA |
Practice Address |
1331 4th St Se Apt 1016 Washington DC 20003-4479 |
Practice Telephone | 2162991568 |
Mailing Telephone | 2162991568 |
Enumeration Date | 2016-07-26 |
Last Update Date | 2016-07-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367H00000X | Anesthesiologist Assistant | AA000073 | DC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1331 4TH ST SE APT 1016 |
City | WASHINGTON |
State | DC |
Zip Code | 20003-4479 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
1548872617 | Marie Lubin | Licensed Practical Nurse | 100 New Jersery Ave Se, Suite 845, Washington, DC 20003 | 2020-08-20 |
1770115081 | District of Columbia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15 I Street Se, Washington, DC 20003 | 2020-02-05 |
1538706676 | Eric Schwartz | Specialist/Technologist | 2400 E Capitol St Se, Washington, DC 20003 | 2019-12-09 |
1669945879 | Taiwo O Adeyemo | Nurse Practitioner | Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 | 2019-01-10 |
1881164424 | Heather Yvonne Daniels | Social Worker | 650 I Street Ne, Washington, DC 20003 | 2018-11-27 |
1467946566 | Fanta Boakai Sheriff | Home Health Aide | 1202 12th Street Se, Washington, DC 20003 | 2018-06-21 |
1881117513 | Rose Physcial Therapy Group | Physical Therapist | 1015 Half Street #102, Washington, DC 20003 | 2017-07-25 |
1821510280 | Tiara Doniece Jackson | Technician | 601 L St Se, Apt 1001, Washington, DC 20003 | 2017-07-07 |
1083134985 | Sophia Olivia Hooper | Home Health Aide | 1612 A St Se, Washington, DC 20003 | 2017-06-21 |
Find all providers in zip 20003 |
Taxonomy Code | 367H00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Anesthesiologist Assistant |
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972136174 | Samuel Patrick Lind | Anesthesiologist Assistant | 2150 Pennsylvania Ave Nw Ste 10-407, Washington, DC 20037-3201 | 2020-02-16 |
1871059584 | Nancy Long | Anesthesiologist Assistant | 250 K St Ne Apt 606, Washington, DC 20002-8218 | 2019-02-18 |
1639653132 | Michael Diskin | Anesthesiologist Assistant | 110 Irving St Nw Ste G226, Washington, DC 20010-3017 | 2018-09-20 |
1346777273 | Ashleigh Dechow | Anesthesiologist Assistant | 110 Irving St Nw # G226, Washington, DC 20010-3017 | 2017-05-23 |
1801349956 | Jorjetta Ilieva | Anesthesiologist Assistant | 3401 38th St Nw, Apt 323, Washington, DC 20016-3037 | 2016-07-25 |
1821444373 | Jeffrey Bender | Anesthesiologist Assistant | 1150 Varnum St Ne Dept Of, Washington, DC 20017-2180 | 2016-05-13 |
1083223598 | Michael Mangiapani | Anesthesiologist Assistant | 900 23rd St Nw, Washington, DC 20037-2342 | 2020-07-30 |
1164043535 | Connor Conti | Anesthesiologist Assistant | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-04-27 |
1306475348 | Josiah Mcfarland | Anesthesiologist Assistant | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-04-02 |
1982232682 | Jaclyn Fleener | Anesthesiologist Assistant | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-03-29 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20003 |
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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.