KELLY JEAN GARRY


Address: 18221 Torrence Ave, Lansing, IL 60438-2870
Phone: 7088959450

KELLY JEAN GARRY (NPI# 1669403069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669403069
Entity Type Individual
Full Name KELLY JEAN GARRY
Credential CRNA
Practice Address 18221 Torrence Ave
Lansing
IL 60438-2870
Mailing Address 921 Sherwood Dr
Lake Bluff
IL 60044-2203
Practice Telephone 7088959450
Practice Fax Number 7088959455
Mailing Telephone 8476152200
Enumeration Date 2006-07-05
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 209004532 IL Nursing Service Providers
Y 367500000X Nurse Anesthetist, Certified Registered 209004532 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
680 N Lake Shore Dr, Suite 1000, Chicago, IL 606114546 3126959797

Other Providers KELLY GARRY

NPI Name Taxonomy Address Enumeration
1245772565 Kelly Garry Social Worker 931 E 86th St Ste 101, Indianapolis, IN 46240-1852 2016-11-17

Office Location

Street Address 18221 TORRENCE AVE
City LANSING
State IL
Zip Code 60438-2870

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841294279 Adam Edward Cole Nurse Anesthetist, Certified Registered 18221 Torrence Ave, Lansing, IL 60438-2870 2005-06-13
1316283468 Zachary Tyler Smith Nurse Anesthetist, Certified Registered 18221 Torrence Ave, Suite 1-b, Lansing, IL 60438-2870 2012-12-18
1073733598 Apms Medical, Ltd. Durable Medical Equipment & Medical Supplies 18221 Torrence Ave, Suite 1c, Lansing, IL 60438-2870 2007-04-26
1023154945 Marcia Meggs Anesthesiology 18221 Torrence Ave, Lansing, IL 60438-2870 2007-01-29
1740290055 Nicholas P Guisto IIi Anesthesiology 18221 Torrence Ave, Lansing, IL 60438-2870 2006-08-09
1104848258 Julie A. Flynn Nurse Anesthetist, Certified Registered 18221 Torrence Ave, Lansing, IL 60438-2870 2006-07-24
1891726345 Interventional Pain Management, Ltd. Anesthesiology 18221 Torrence Ave, Suite 1b, Lansing, IL 60438-2870 2006-07-05
1407803265 Eileen Boetel Nurse Anesthetist, Certified Registered 18221 Torrence Ave, Lansing, IL 60438-2870 2006-05-27
1992754089 Stat Anesthesia Specialists, Ltd. Anesthesiology 18221 Torrence Ave, Suite 1b, Lansing, IL 60438-2870 2006-05-08
1235188533 Mark A Tomczak Specialist 18221 Torrence Ave, Suite 1b, Lansing, IL 60438-2870 2006-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013429984 Gentle Touch Healthcare Services In Home Supportive Care 18236 Ridgewood, Lansing, IL 60438 2017-10-31
1336658699 Elizabeth M Cichocki Speech-Language Pathologist Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 2017-09-29
1023527595 Sue Hecht Speech-Language Pathologist 18300 Greenbay, Lansing, IL 60438 2017-09-27
1275960130 Senegal Enterprises Medical, Inc Durable Medical Equipment & Medical Supplies 3330 181st Place, Suite 103, Lansing, IL 60438 2013-10-08
1295062404 Dominion Home Health Care Inc. Home Health 2521 Ridge Road, Suite 4, Lansing, IL 60438 2009-11-09
1013076348 Wayne M Mrjenovich Dds PC Dentist 19111 Burnham Ave, Lansing, IL 60438 2006-12-06
1124198247 Jennifer Meyer Counselor 17041 Chicago Ave, Lansing, IL 60438 2006-11-08
1821171182 Nurse Coordinators & Home Health Home Health 1955 Bernice Rd, Suite 1sw, Lansing, IL 60438 2006-10-23
1275633133 Hoovers Home Health Inc Durable Medical Equipment & Medical Supplies 3326 Ridge Rd, Lansing, IL 60438 2006-09-22
1942307053 Brant T Molenaar Optometrist 3546 Ridge Road, Lansing, IL 60438 2006-09-20
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104219088 Jonathon Glennon Nurse Anesthetist, Certified Registered 4604 Old Lansing Rd, Lansing, MI 48917-4458 2015-03-16
1437321692 Maria-paz Salazar Shariff Nurse Anesthetist, Certified Registered 18221 Torrence Ave Ste 1b, Lansing, IL 60438-2870 2008-03-27
1144313784 Erik Martin Forbord Nurse Anesthetist, Certified Registered 401 West Greenlawn Avenue, Lansing, MI 48910 2006-10-02
1841294279 Adam Edward Cole Nurse Anesthetist, Certified Registered 18221 Torrence Ave, Lansing, IL 60438-2870 2005-06-13
1316550874 Joshua Wissner Nurse Anesthetist, Certified Registered 1215 E Michigan Ave, Lansing, MI 48912-1896 2020-08-25
1225650526 Anna Regan Nurse Anesthetist, Certified Registered 1215 E Michigan Ave, Lansing, MI 48912-1896 2020-05-11
1083275085 Nathan Bryan Hanovich Nurse Anesthetist, Certified Registered 401 W Greenlawn Ave, Lansing, MI 48910-2819 2019-06-21
1548827306 Jonathan Straley Nurse Anesthetist, Certified Registered 1215 E Michigan Ave, Lansing, MI 48912-1896 2019-05-28
1376109926 Kathleen Elizabeth Keating Nurse Anesthetist, Certified Registered 1215 E Michigan Ave, Lansing, MI 48912-1896 2019-05-18
1205324795 Taylor Smith Nurse Anesthetist, Certified Registered 401 W Greenlawn Ave, Lansing, MI 48910-2819 2018-04-30
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City LANSING
Zip Code 60438

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Dataset Information

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.

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