KELLY ELIZABETH KUCZWARA (NPI# 1740549831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740549831 |
| Entity Type | Individual |
| Full Name | KELLY ELIZABETH KUCZWARA |
| Other Name | KELLY ELIZABETH WINANS |
| Credential | CRNA |
| Practice Address |
4647 Zion Avenue San Diego CA 92120 |
| Practice Telephone | 6193396439 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 719042 | CA | Nursing Service Providers |
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
719042 | CA | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4300 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4647 ZION AVENUE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283999 | Amy Parsons Thomas | Genetic Counselor, MS | 4647 Zion Avenue, Kaiser Permanente Genetic Services, San Diego, CA 92120 | 2005-11-23 |
| 1639656028 | Ismael D Tactay Jr. | Respiratory Therapist, Registered | 4647 Zion Avenue, Respiratory Care 4th Floor, San Diego, CA 92120 | 2018-07-27 |
| 1245598093 | Samantha Browde | Dietitian, Registered | 4647 Zion Avenue, San Diego, CA 92120 | 2012-04-30 |
| 1942421011 | Bobette Sherman | Dietitian, Registered | 4647 Zion Avenue, San Diego, CA 92120 | 2007-05-02 |
| 1750352803 | Olaf Brandt Nordling | Radiology | 4647 Zion Avenue, Kaiser Permanente Medical Center San Diego, San Diego, CA 92112 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| 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 |
|---|---|---|---|---|
| 1104306505 | Richard Rempes | Nurse Anesthetist, Certified Registered | 2228 Felspar St Apt G, San Diego, CA 92109-3755 | 2018-08-15 |
| 1821492240 | Rikki Marie Toupin | Nurse Anesthetist, Certified Registered | 908 G. St. Unit 12, San Diego, CA 92101 | 2014-10-14 |
| 1447672290 | Cristina Papa | Nurse Anesthetist, Certified Registered | 2168 Harbour Heights Rd, San Diego, CA 92109-1427 | 2014-01-14 |
| 1619309838 | Michelle Matthews | Nurse Anesthetist, Certified Registered | 2433 Mammoth Dr, San Diego, CA 92123-3502 | 2013-07-30 |
| 1609120948 | Jeffrey Keith Burney | Nurse Anesthetist, Certified Registered | 2349 Blom St, San Diego, CA 92109-3733 | 2012-11-08 |
| 1265638373 | Robert Joseph Haag | Nurse Anesthetist, Certified Registered | 11429 Miro Cir, San Diego, CA 92131-3316 | 2007-06-25 |
| 1558437236 | Sara Ann Fitzpatrick | Nurse Anesthetist, Certified Registered | 2628 Landis St, San Diego, CA 92104-3408 | 2006-11-27 |
| 1679658926 | Sharon Anne Mullaney | Nurse Anesthetist, Certified Registered | 3704 Mt. Augustus, San Diego, CA 92111-8800 | 2006-10-26 |
| 1578644662 | Lois M. Slawson | Nurse Anesthetist, Certified Registered | 2850 Sixth Ave., Ste # 401, San Diego, CA 92103 | 2006-10-17 |
| 1033149117 | Frank Gursansky | Nurse Anesthetist, Certified Registered | 200 West Arbor Dr. Mc 0801, Ucsd Medical Center, San Diego, CA 92103-0801 | 2006-07-04 |
| Find all providers in SAN DIEGO | ||||
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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.