MRS. VIVIAN VANESSA HINER-MCELROY (NPI# 1740224120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740224120 |
| Entity Type | Individual |
| Full Name | MRS. VIVIAN VANESSA HINER-MCELROY |
| Credential | CRNA |
| Practice Address |
4642 N Loop 289 Lubbock TX 79416-2409 |
| Mailing Address |
4802 N Loop 289 Lubbock TX 79416-3025 |
| Practice Telephone | 8067880040 |
| Mailing Telephone | 8067880040 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP108242 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 604338 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9276571 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN592557 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN053155 APO3458 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICAID GROUP # | 1007307260035 | 01 | |
| PA | 102558850 0001 | 05 | |
| PA | MEDICARE GROUP # | 050514 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 4th Street, Saint Joseph, LA 713660412 | 3183010231 |
| Street Address |
4642 N LOOP 289 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475372 | Patrick F Molligan | Orthopaedic Surgery | 4642 N Loop 289, Ste 219, Lubbock, TX 79416-2425 | 2005-05-27 |
| 1902358559 | Amy Hopkins | Nurse Practitioner | 4642 N Loop 289, Suite 215, Lubbock, TX 79416-2409 | 2016-10-31 |
| 1417326547 | Mika Polly | Nurse Practitioner | 4642 N Loop 289, Ste 211, Lubbock, TX 79416-2425 | 2015-09-18 |
| 1508201526 | Physical Therapy Today of Lubbock, Lp | Physical Therapist | 4642 N Loop 289, Suite 205, Lubbock, TX 79416-2409 | 2013-05-03 |
| 1568646925 | Lisa Marie Wray | Nurse Practitioner | 4642 N Loop 289, Suite 219, Lubbock, TX 79416-2409 | 2007-12-20 |
| 1417140641 | Shamima Sattar | Internal Medicine | 4642 N Loop 289, Lubbock, TX 79416-2409 | 2007-08-21 |
| 1740338433 | Julius Lyonga | Physician Assistant | 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 | 2007-01-08 |
| 1962568642 | Carlos Rizo-patron | Internal Medicine | 4642 N Loop 289, Ste. 215, Lubbock, TX 79416-2409 | 2006-12-28 |
| 1093873176 | Center for Orthopedic Surgery L.l.p. | Orthopaedic Surgery | 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 | 2006-12-04 |
| 1306932116 | Darla F Gleaves | Specialist/Technologist | 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| 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 |
|---|---|---|---|---|
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1013489764 | Nzonguti Ekangaki | Nurse Anesthetist, Certified Registered | 3601 4th St Ste 1b350s, Lubbock, TX 79430-0002 | 2018-12-19 |
| 1154838241 | Tracy Danielle Mill | Nurse Anesthetist, Certified Registered | 3601 4th Street Suite 1b350s, Lubbock, TX 79430-0001 | 2018-01-10 |
| 1982149076 | Elliot Michel | Nurse Anesthetist, Certified Registered | 3601 4th St # 1b350s, Lubbock, TX 79430-0002 | 2016-12-27 |
| 1023377207 | Joshua Kain Jones | Nurse Anesthetist, Certified Registered | 5602 Geneva Ave, Lubbock, TX 79413-4824 | 2012-05-09 |
| 1336408681 | Stephen Creighton Ray | Nurse Anesthetist, Certified Registered | 2400 Glenna Goodacre Blvd Apt 4326, Lubbock, TX 79401-2280 | 2012-05-07 |
| 1952606667 | David Irvin | Nurse Anesthetist, Certified Registered | 3610 22nd St, Lubbock, TX 79410-1350 | 2011-01-12 |
| 1023313673 | Mayme Alicia Matthews | Nurse Anesthetist, Certified Registered | Texas Tech University Health Sciences Ctr, 3601 4th Street, Ms 8182, Lubbock, TX 79430-0001 | 2011-01-12 |
| 1992941082 | Keila H Townson | Nurse Anesthetist, Certified Registered | 5020 Auburn St, Apt 1012, Lubbock, TX 79416 | 2008-12-19 |
| 1972548428 | Isagani L. Saculo | Nurse Anesthetist, Certified Registered | 4315 28th St Suite 2, Suite 1c282, Lubbock, TX 79410-2507 | 2006-06-18 |
| Find all providers in LUBBOCK | ||||
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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.