CAITLIN MARY PEMBERTON (NPI# 1700421864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700421864 |
| Entity Type | Individual |
| Full Name | CAITLIN MARY PEMBERTON |
| Practice Address |
303 E Kearsley St Flint MI 48502-1907 |
| Mailing Address |
6985 Springcrest Ct Clarkston MI 48346-1075 |
| Practice Telephone | 8107623300 |
| Mailing Telephone | 8106912239 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704351620 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
303 E KEARSLEY ST |
| City | FLINT |
| State | MI |
| Zip Code | 48502-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831402684 | Urban Health and Wellness Center | Clinic/Center | 303 E Kearsley St, 1153 William S. White Building, Flint, MI 48502-1907 | 2010-07-22 |
| 1730710393 | Matthew Michael Jacque | Student in an Organized Health Care Education/Training Program | 303 E Kearsley St, Flint, MI 48502-1907 | 2020-01-31 |
| 1093355091 | Brittany Marie Fischer | Registered Nurse | 303 E Kearsley St, Flint, MI 48502-1907 | 2020-01-08 |
| 1144866963 | Jennifer Tempest | Nurse Practitioner | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-27 |
| 1841836582 | Kelly Holda | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1750927497 | Nicole Lucas | Registered Nurse | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1669018305 | Jason Scholten | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1295371938 | Andrew Michael Deneen | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1104462845 | Zachary Westveer | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1013553759 | James Steven Buster | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003453267 | Patricia Ann Love | Peer Specialist | Training& Treatment Innovations,inc, 929 Stevenson St, Flint, MI 48502 | 2019-12-06 |
| 1104474329 | First Trinity Missionary Baptist Church | Public Health or Welfare | 1226 Beach St, Flint, MI 48502 | 2019-08-30 |
| 1851861447 | Mia Riggs | Peer Specialist | 932 Beach St., Flint, MI 48502 | 2018-11-27 |
| 1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
| 1801304498 | Faith Ellen Gardner | Student in an Organized Health Care Education/Training Program | 529 Mlk, Flint, MI 48502 | 2018-01-17 |
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
| 1508260753 | Brittany Hopkins | Counselor | 529 Marting Luther King Jr Ave, Flint, MI 48502 | 2014-10-17 |
| Find all providers in zip 48502 | ||||
| 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 |
|---|---|---|---|---|
| 1114463379 | Sleepsmith Staffing LLC | Nurse Anesthetist, Certified Registered | 1914 Miller Rd, Flint, MI 48503-4723 | 2017-01-12 |
| 1114200680 | Jane Ranson Maris | Nurse Anesthetist, Certified Registered | 17448 Hillview, Flint, TX 75762-9768 | 2011-09-21 |
| 1790895720 | Elloweese Denise Freer | Nurse Anesthetist, Certified Registered | 1325 S Linden Rd, Flint, MI 48532-3408 | 2006-08-31 |
| 1396851002 | Gustavo Vargas | Nurse Anesthetist, Certified Registered | 18058 Deer Trl, Flint, TX 75762-4000 | 2006-08-23 |
| 1740251982 | Robin E Galazka | Nurse Anesthetist, Certified Registered | 5014 Villalinde Parkway, Flint, MI 48504 | 2006-01-27 |
| 1952916751 | Emily Kinsman LLC | Nurse Anesthetist, Certified Registered | 5014 Villa Linde Pkwy, Flint, MI 48532-3411 | 2020-09-09 |
| 1841836582 | Kelly Holda | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1669018305 | Jason Scholten | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1295371938 | Andrew Michael Deneen | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| 1104462845 | Zachary Westveer | Nurse Anesthetist, Certified Registered | 303 E Kearsley St, Flint, MI 48502-1907 | 2019-11-18 |
| Find all providers in FLINT | ||||
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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.