JENNA WILSON (NPI# 1780083113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780083113 |
| Entity Type | Individual |
| Full Name | JENNA WILSON |
| Credential | CRNA |
| Practice Address |
155 Memorial Dr Pinehurst NC 28374-8710 |
| Mailing Address |
Po Box 8500 Pinehurst NC 28374-8500 |
| Practice Telephone | 9107151010 |
| Practice Fax Number | 9107151026 |
| Mailing Telephone | 9107152164 |
| Mailing Fax Number | 9107154493 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 104668 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005553 | Jenna Wilson | Counselor | 16574 6275 Rd, Montrose, CO 81403-9131 | 2019-07-18 |
| 1033633607 | Jenna Wilson | Marriage & Family Therapist | 6555 Nova Dr Ste 300, Davie, FL 33317-7404 | 2017-07-26 |
| 1649685066 | Jenna Lynne Wilson | Midwife | 2958 State Street, Santa Barbara, CA 93105 | 2014-06-24 |
| 1386975431 | Jenna Wilson | Physician Assistant | 35 Storey Ave, Newburyport, MA 01950 | 2010-01-28 |
| 1144846155 | Jenna Wilson I | Student in an Organized Health Care Education/Training Program | 736 Cambridge St, Boston, MA 02135-2907 | 2020-06-25 |
| 1548827165 | Jenna Wilson | Speech-Language Pathologist | 5000 Research Ct Ste 450, Suwanee, GA 30024-6660 | 2019-05-20 |
| 1144712928 | Jenna Wilson | Orthopaedic Surgery | 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109-5328 | 2018-06-06 |
| 1598256869 | Jenna Lynn Wilson | Nurse Practitioner | 716 Lincoln Sq, Arlington, TX 76011 | 2018-05-22 |
| 1184134454 | Jenna M. Wilson | Physician Assistant | 501 Cetronia Rd, Allentown, PA 18104-9569 | 2017-10-02 |
| 1942757455 | Jenna Ann Wilson | Case Manager/Care Coordinator | 125 Crestridge St, Fort Collins, CO 80525-3934 | 2016-09-01 |
| Street Address |
155 MEMORIAL DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355406 | Steven P Michael | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2005-06-08 |
| 1497373435 | Brittany Nicole Trethewey | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-07-07 |
| 1972120798 | Brittany Cherish Atkinson | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-06-27 |
| 1497375273 | Patricia Fisher | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-04-21 |
| 1952941031 | Jonathon P Portincasa | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-01-07 |
| 1992344121 | Karen Hayes | Dietitian, Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-01-06 |
| 1679119499 | Mcpc-5, LLC | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-11-27 |
| 1215572540 | Karen Boston | Dietitian, Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-11-11 |
| 1063063766 | Michelle Marie Trexler | Nurse Practitioner | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-09-24 |
| 1912489725 | Viridiana C Morman | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| 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 |
|---|---|---|---|---|
| 1467596684 | James Richard Reed | Nurse Anesthetist, Certified Registered | 30 Lake View Dr E, Pinehurst, NC 28374-6930 | 2007-02-19 |
| 1437163722 | Michelle Sue Vincent | Nurse Anesthetist, Certified Registered | 10 First Vlg, Pinehurst, NC 28374-8725 | 2006-07-29 |
| 1952941031 | Jonathon P Portincasa | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-01-07 |
| 1912489725 | Viridiana C Morman | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2018-08-29 |
| 1689154494 | Joshua Falk | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2018-08-21 |
| 1386161768 | Brandi Tinsbloom | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2017-08-25 |
| 1184175176 | Katherine Titus-wells | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2016-10-14 |
| 1740638378 | Rebecca Swensen Adams | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2016-05-24 |
| 1295126043 | Joshua Fesel | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2015-02-16 |
| 1487077186 | Trenten Bassett | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2014-01-31 |
| Find all providers in PINEHURST | ||||
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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.