NICOLE R. SHINDLEDECKER (NPI# 1679011795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679011795 |
| Entity Type | Individual |
| Full Name | NICOLE R. SHINDLEDECKER |
| Credential | CRNA |
| Practice Address |
1044 Belmont Ave Youngstown OH 44504-1006 |
| Mailing Address |
4135 Boardman Canfield Rd Suite 101 Canfield OH 44406-9803 |
| Practice Telephone | 3304803658 |
| Practice Fax Number | 3304803439 |
| Mailing Telephone | 3302865330 |
| Mailing Fax Number | 3302865396 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN367015 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 13964526 | 01 | |
| OH | MEDICARE PTAN | H482590 | 01 |
| OH | 0205181 | 05 |
| Street Address |
1044 BELMONT AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44504-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210495 | Select Specialty Hospital - Youngstown Inc | Long Term Care Hospital | 1044 Belmont Ave, Youngstown, OH 44501-1006 | 2005-07-28 |
| 1326659558 | Tiewei Cheng | Internal Medicine | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-08-11 |
| 1649892225 | Mercy Health Physicians Youngstown Specialty Care LLC | Allergy & Immunology | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-05-18 |
| 1023630936 | Dana Schwartz | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-05-13 |
| 1861012346 | Margaret Jane Gibson | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-24 |
| 1801416425 | Courtney Colles | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-23 |
| 1427678218 | Jordynn Pozzuto | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-21 |
| 1518587799 | Bryan Wang | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-17 |
| 1528687381 | Alexis Lynn De La Cruz | Radiology | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-13 |
| 1467071290 | Garrett Andrew Frank | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
| 1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
| 1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
| 1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
| 1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
| 1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
| 1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
| 1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
| 1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
| 1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
| Find all providers in zip 44504 | ||||
| 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 |
|---|---|---|---|---|
| 1528587110 | Simone F Aulizio | Nurse Anesthetist, Certified Registered | 7630 Sourthern Blvd, Youngstown, OH 44512-5633 | 2017-09-14 |
| 1154519916 | Lisa L. Fowler | Nurse Anesthetist, Certified Registered | 3622 Belmont Ave Ste 1, Youngstown, OH 44505-1444 | 2007-10-05 |
| 1811099732 | Linda Mccloud Huffman | Nurse Anesthetist, Certified Registered | 402 Tod Ln, Youngstown, OH 44504-1404 | 2006-09-01 |
| 1992336309 | Merissa Jade Saadey | Nurse Anesthetist, Certified Registered | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-02-04 |
| 1386274074 | Joseph Thomas Stoops | Nurse Anesthetist, Certified Registered | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-01-22 |
| 1649787987 | Kathryn Marie Arrington | Nurse Anesthetist, Certified Registered | 1044 Belmont Ave, Youngstown, OH 44504 | 2018-01-09 |
| 1891210852 | Capstone Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 500 Gypsy Lane, Youngstown, OH 44504 | 2017-08-10 |
| 1932636842 | Joseph Robert Pastore | Nurse Anesthetist, Certified Registered | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2017-05-23 |
| 1992232839 | Collin Steven Brown | Nurse Anesthetist, Certified Registered | 500 Gypsy Lane, Anesthesia Dept, Youngstown, OH 44501 | 2017-05-22 |
| 1629517214 | Carly Ann Eggleston | Nurse Anesthetist, Certified Registered | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2017-02-16 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44504 |
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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.