SHALETRA JORDAN (NPI# 1699164285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699164285 |
| Entity Type | Individual |
| Full Name | SHALETRA JORDAN |
| Other Name | SHALETRA HODGE |
| Practice Address |
412 Overland St Carthage TX 75633-1820 |
| Practice Telephone | 9037420197 |
| Mailing Telephone | 9037420197 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP127172 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
412 OVERLAND ST |
| City | CARTHAGE |
| State | TX |
| Zip Code | 75633-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1770666208 | Prakash Malviya | Pediatrics | 409 Cottage Road, Etmc, Carthage, TX 75633 | 2006-10-20 |
| 1457448011 | Johnny Edwin Majors | Dentist | 103 North Sycamore, Carthage, TX 75633 | 2006-10-06 |
| 1740374164 | Clayton H. Brakeville | Physical Therapist | 107 S. Daniels St, Carthage, TX 75633 | 2006-10-02 |
| 1205927761 | Dennis D Golden Sr. | Optometrist | 105 Cottage Rd, Carthage, TX 75633 | 2006-09-27 |
| 1770685059 | Tom M Jones | Dentist | 311 West Sabine, Carthage, TX 75633 | 2006-09-05 |
| 1124037031 | Izzy Inc | Durable Medical Equipment & Medical Supplies | 106 N Shelby St, Carthage, TX 75633 | 2006-08-07 |
| 1699705756 | Iraj Roshan | Internal Medicine | 1519 W Panola St, Carthage, TX 75633 | 2006-07-04 |
| 1073504437 | Charles Deron Lewis | Durable Medical Equipment & Medical Supplies | 310 N Adams Street, Carthage, TX 75633 | 2005-11-03 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| Find all providers in zip 75633 | ||||
| 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 |
|---|---|---|---|---|
| 1619436763 | Laura Keown | Nurse Anesthetist, Certified Registered | 700 Crabtree Rd, Carthage, NC 28327-8418 | 2019-03-18 |
| 1073709010 | Carol Spence | Nurse Anesthetist, Certified Registered | 91 Lakeside Dr, Carthage, TN 37030-2387 | 2007-09-24 |
| 1083620264 | Jenny Beth Kimberly | Nurse Anesthetist, Certified Registered | 8401 N Rushville Rd, Carthage, IN 46115-9771 | 2006-07-31 |
| 1548221427 | Susan Dale Rogers | Nurse Anesthetist, Certified Registered | 480 Hutchinson Dr, Carthage, MS 39051-7588 | 2006-03-30 |
| 1952370207 | Donald Edward Beissel | Nurse Anesthetist, Certified Registered | 627 West Centennial, Carthage, MO 64836 | 2006-03-17 |
| 1982680666 | Aaron M. Petersen | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Anesthesia Dept, Carthage, MO 64836-7402 | 2005-12-15 |
| 1417955329 | Tatiana P Mccuen | Nurse Anesthetist, Certified Registered | 205 Tuscarora Rd, Carthage, NC 28327-8985 | 2005-07-13 |
| 1184125908 | Carthage Hospital, LLC | Nurse Anesthetist, Certified Registered | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-27 |
| 1225587504 | Northstar Anesthesia of Kentucky II, Pllc | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-09-27 |
| 1770813776 | Jillian Evonne Mccartney | Nurse Anesthetist, Certified Registered | 1001 West St, Carthage, NY 13619-9703 | 2010-01-13 |
| Find all providers in CARTHAGE | ||||
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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.