DANIELLE LAUREN CARLSON (NPI# 1700296324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700296324 |
| Entity Type | Individual |
| Full Name | DANIELLE LAUREN CARLSON |
| Credential | CRNA |
| Practice Address |
5734 Coventry Lane Fort Wayne IN 47804-7141 |
| Mailing Address |
609 S Howell Ave West Plains MO 65775-3747 |
| Practice Telephone | 2604367875 |
| Practice Fax Number | 2604329812 |
| Mailing Telephone | 6362332266 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 100169 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679877252 | Danielle Alyssa Carlson | Marriage & Family Therapist | 6949 Valley Creek Rd Ste 220, Woodbury, MN 55125-2258 | 2010-12-22 |
| 1538627674 | Danielle Ileana Carlson | Physical Therapy Assistant | 23770 Hospital St, Cassopolis, MI 49031-9644 | 2019-03-07 |
| 1619442407 | Danielle Carlson | Psychologist | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2018-10-08 |
| 1982151379 | Danielle Carlson | Marriage & Family Therapist | 8707 Skokie Blvd, Suite 310, Skokie, IL 60077-2269 | 2016-09-02 |
| 1003073669 | Danielle S Carlson | Social Worker | 10702 W Burleigh St, Wauwatosa, WI 53222-3310 | 2008-05-21 |
| Street Address |
5734 COVENTRY LANE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 47804-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407840721 | Lori L Hockenberry | Nurse Anesthetist, Certified Registered | 5734 Coventry Lane, Fort Wayne, IN 46804-7141 | 2005-09-01 |
| 1902348360 | Nicolas Orleans | Registered Nurse | 5734 Coventry Lane, Fort Wayne, IN 46804 | 2016-11-15 |
| 1194128538 | Stephanie Marie Stein | Nurse Anesthetist, Certified Registered | 5734 Coventry Lane, Fort Wayne, IN 46804-7141 | 2014-09-30 |
| 1952687196 | Jacob Larry Carlson | Nurse Anesthetist, Certified Registered | 5734 Coventry Lane, Fort Wayne, IN 46804-7141 | 2011-11-02 |
| 1558484113 | Ryan A Buhr | Anesthesiology | 5734 Coventry Lane, Fort Wayne, IN 46804-7141 | 2007-04-09 |
| 1750377347 | Alexis Crane Woodruff | Anesthesiology | 5734 Coventry Lane, Fort Wayne, IN 45804-7141 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
| Find all providers in zip 47804 | ||||
| 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 |
|---|---|---|---|---|
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1902344906 | Jonathan Christophersen | Nurse Anesthetist, Certified Registered | 7734 Coventry Lane, Fort Wayne, IN 46804-7141 | 2017-02-09 |
| 1275959868 | Patrick Jomo | Nurse Anesthetist, Certified Registered | 4628 Craftsbury Cir, Fort Wayne, IN 46818-2063 | 2014-03-06 |
| 1992135446 | M B Fletcher Pllc | Nurse Anesthetist, Certified Registered | 7747 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-4135 | 2013-11-20 |
| 1407840721 | Lori L Hockenberry | Nurse Anesthetist, Certified Registered | 5734 Coventry Lane, Fort Wayne, IN 46804-7141 | 2005-09-01 |
| 1831798354 | Dorian Raymone Tate | Nurse Anesthetist, Certified Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-26 |
| 1477179737 | Mirsad Maglajlic | Nurse Anesthetist, Certified Registered | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-23 |
| 1376164087 | Xuan Quyen Vu | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 | 2020-05-04 |
| 1447889548 | Tyler William Russell | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd, Fort Wayne, IN 46825-1912 | 2020-04-02 |
| 1356988463 | Alissa Lynn Clawson | Nurse Anesthetist, Certified Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-12-09 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 47804 |
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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.