JOSHUA VAN PETTIT


Address: 3024 Stadium Blvd, Jonesboro, AR 72401-7415
Phone: 5012270700

JOSHUA VAN PETTIT (NPI# 1679891527) 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) 1679891527
Entity Type Individual
Full Name JOSHUA VAN PETTIT
Credential CRNA
Practice Address 3024 Stadium Blvd
Jonesboro
AR 72401-7415
Mailing Address 2024 Arkansas Valley Dr
Suite 202
Little Rock
AR 72212-4166
Practice Telephone 5012270700
Practice Fax Number 5012270744
Mailing Telephone 5012270700
Mailing Fax Number 5012270744
Enumeration Date 2010-05-16
Last Update Date 2010-05-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered R69821 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3024 STADIUM BLVD
City JONESBORO
State AR
Zip Code 72401-7415

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518961580 John Kenneth Phillips Radiology 3024 Stadium Blvd, Jonesboro, AR 72401-7415 2005-06-08
1851725147 Kelley Annette Williamson Registered Nurse 3024 Stadium Blvd, Jonesboro, AR 72401-7415 2013-08-22
1013275643 Lauren Martin Nurse Anesthetist, Certified Registered 3024 Stadium Blvd, Jonesboro, AR 72401-7415 2012-05-02
1245522895 Jeremy G Martin Nurse Anesthetist, Certified Registered 3024 Stadium Blvd, Jonesboro, AR 72401-7415 2011-05-13
1255659546 Richard Thomas Sheppard Nurse Anesthetist, Certified Registered 3024 Stadium Blvd, Jonesboro, AR 72401-7415 2010-05-11
1538487822 Jonathan David Crafton Nurse Anesthetist, Certified Registered 3024 Stadium Blvd, Jonesboro, AR 72401-7415 2010-05-11
1497989958 Toby A Stacy Nurse Anesthetist, Certified Registered 3024 Stadium Blvd, Jonesboro, AR 72401-7415 2009-05-12
1033372404 Paul S Blumreich Nurse Anesthetist, Certified Registered 3024 Stadium Blvd, Jonesboro, AR 72401-7415 2008-07-07
1043410632 Terry Ray Brewer Jr. Registered Nurse 3024 Stadium Blvd, Jonesboro, AR 72401-7415 2007-07-20
1609095934 Reagan Baber Anesthesiology 3024 Stadium Blvd, Jonesboro, AR 82401-7415 2007-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
Find all providers in zip 72401

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
1275196065 Amanda Sharrell Thomas Nurse Anesthetist, Certified Registered 1 Willow Creek Ln Apt 1111, Jonesboro, AR 72404-8098 2019-04-17
1245728914 Karina Coats Nurse Anesthetist, Certified Registered 2409 Skyline Pt, Jonesboro, AR 72404 2018-04-27
1093237182 Wake Up Satisfied Pa Nurse Anesthetist, Certified Registered 2241 Hill Park Cv Ste B, Jonesboro, AR 72401-6251 2017-07-11
1336576784 Mary Joan Nyaguthii Ndumia Nurse Anesthetist, Certified Registered 405 Arrowhead Bvld, Suite C, Jonesboro, GA 30236-1254 2013-10-01
1992034607 Superior Anesthesia Services Nurse Anesthetist, Certified Registered 4921 Inverness Run Dr, Jonesboro, AR 72401-8061 2009-12-09
1821244088 Chasity C Alcazar Nurse Anesthetist, Certified Registered 225 East Jackson, Jonesboro, AR 72401 2008-08-07
1851562029 Joan Elizabeth Mcalexander Nurse Anesthetist, Certified Registered 506 Mockingbird Ln, Jonesboro, AR 72401-7155 2008-03-17
1477571719 Steven C Fontana Nurse Anesthetist, Certified Registered 220 Dunwoody Dr, Jonesboro, AR 72404-8886 2006-07-17
1174555833 Dennis Wayne King Nurse Anesthetist, Certified Registered 446 County Road 7592, Jonesboro, AR 72401-7767 2006-07-06
1326075870 Arthur Wolover Nurse Anesthetist, Certified Registered 1118 Layman Dr, Jonesboro, AR 72404-9095 2006-06-27
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City JONESBORO
Zip Code 72401

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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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