MRS. MARLENA JO HARRIS (NPI# 1720036965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720036965 |
| Entity Type | Individual |
| Full Name | MRS. MARLENA JO HARRIS |
| Credential | MSN,APRN,BC,CRNA |
| Practice Address |
128 1/2 East Point Drive Charleston WV 25311 |
| Mailing Address |
3200 Maccorkle Ave Se Camc Charleston WV 25304-1227 |
| Practice Telephone | 3049252266 |
| Mailing Telephone | 3043886220 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
42882 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 42882 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810001280 | 05 |
| Street Address |
128 1/2 EAST POINT DRIVE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225476 | Darlene Lacy-carter | Technician | 1406 Milton Street, Charleston, WV 25311 | 2020-11-04 |
| 1942810452 | Joshua Reese | Technician | 1248 Valley Grove Rd, Charleston, WV 25311 | 2020-08-10 |
| 1538710785 | Pamela White | Technician | 542 Harmony Hollow Road, Charleston, WV 25311 | 2019-09-27 |
| 1780104083 | The Stairlift People, Inc | Public Health or Welfare | 2510 Kanawha Blvd East, Charleston, WV 25311 | 2017-06-27 |
| 1902271505 | Mary Workman | Registered Nurse | 1520 Wahington Street East, Charleston, WV 25311 | 2015-12-08 |
| 1871966564 | Ashley Nicole Lester | Occupational Therapy Assistant | 1000 Association Dr., Charleston, WV 25311 | 2015-11-04 |
| 1548671530 | Holly Markins | Social Worker | 300 Tracy Way, Charleston, WV 25311 | 2014-05-13 |
| 1124453964 | West Virginia Health Right, Inc. | Clinic/Center | 1520 Washington St. E., Charleston, WV 25311 | 2013-09-12 |
| 1457678005 | Sarah Lyn Tussey | Occupational Therapy Assistant | 1 Supthin Dr, Charleston, WV 25311 | 2010-04-22 |
| 1639344708 | Daymark Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1592 Washington Street East, Suite 2, Charleston, WV 25311 | 2008-04-29 |
| Find all providers in zip 25311 | ||||
| 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 |
|---|---|---|---|---|
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1043746464 | Victoria Lorraine Nester | Nurse Anesthetist, Certified Registered | 3018 Cane Fork Rd, Charleston, WV 25314-9002 | 2017-05-04 |
| 1417308891 | Erik Meadows | Nurse Anesthetist, Certified Registered | 121 Hickory Rd, Charleston, WV 25314-1823 | 2016-06-27 |
| 1194175265 | Bethany Daniel | Nurse Anesthetist, Certified Registered | 644 Gordon Dr, Charleston, WV 25314-1762 | 2016-06-20 |
| 1790117356 | Benjamin Michael Blick | Nurse Anesthetist, Certified Registered | 402 Bow Hunter Rd, Charleston, WV 25314-2458 | 2013-08-06 |
| 1972805802 | Bradford Clinton Buddenberg | Nurse Anesthetist, Certified Registered | 2215 Smith Rd, Charleston, WV 25314-2110 | 2010-11-29 |
| 1750619011 | Ashlea Renea King | Nurse Anesthetist, Certified Registered | 12 Jamestown Rd, Charleston, WV 25314-1976 | 2009-11-25 |
| 1013152644 | Meg Adair Jackson | Nurse Anesthetist, Certified Registered | 3200 Maccorkle Ave S. E., Charleston, WV 25304 | 2008-12-11 |
| 1316198161 | Tabitha Renee Stutler | Nurse Anesthetist, Certified Registered | 800 Penssylvania Ave, Charleston, WV 25302 | 2008-10-09 |
| 1194997536 | Priscilla Joyce Walkup | Nurse Anesthetist, Certified Registered | 3110 Maccorkle Ave, S.e., Room 2042 Robert C. Byrd Bld, Charleston, WV 25304-1833 | 2008-03-26 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25311 |
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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.