KIMBERLY A PETERSEN (NPI# 1831334366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831334366 |
| Entity Type | Individual |
| Full Name | KIMBERLY A PETERSEN |
| Credential | CRNA |
| Practice Address |
460 Lanier Rd Madison AL 35758-2631 |
| Mailing Address |
1 Hospital Dr Sw Huntsville AL 35801-6455 |
| Practice Telephone | 2563199000 |
| Mailing Telephone | 2564295071 |
| Mailing Fax Number | 2564294674 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1-098803 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114258332 | Kimberly Petersen | Counselor | 3400 Harbor Ave Sw Ste 316, Seattle, WA 98126-2394 | 2010-01-28 |
| 1225357262 | Kimberly Petersen | Respiratory Therapist, Certified | 10180 Se Sunnyside Road, Clackamas, OR 97015 | 2010-05-28 |
| 1043247877 | Kimberly Petersen | Family Medicine | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 | 2006-06-27 |
| Street Address |
460 LANIER RD |
| City | MADISON |
| State | AL |
| Zip Code | 35758-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370029 | Robert A Pendley | Internal Medicine | 460 Lanier Rd, Ste 203, Madison, AL 35758 | 2005-10-19 |
| 1437338134 | Crissey V Watkins | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-2631 | 2007-10-30 |
| 1356369755 | Madison Surgery Center, LLC | Clinic/Center | 460 Lanier Rd, Madison, AL 35758-2631 | 2006-07-17 |
| 1396700688 | Sherry Kay Watson | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-19 |
| 1164487369 | Mark Isaac Copeland | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-19 |
| 1932164555 | Michael Hamilton Fleming | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| 1336104942 | Kenneth Howard Maloney | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| 1891750584 | Andrew Charles Crider | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| 1205891736 | David C Celeski | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| 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 |
|---|---|---|---|---|
| 1407478209 | Laura Polk Phillips | Nurse Anesthetist, Certified Registered | 125 Stone Creek Dr, Madison, MS 39110-5058 | 2020-05-14 |
| 1912447913 | Emily R Stewart | Nurse Anesthetist, Certified Registered | 1994 Gallatin Pike N # 102, Madison, TN 37115-2026 | 2017-02-24 |
| 1053790972 | Rest Assured Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1200 John Q Hammons Dr Ste 102, Madison, WI 53717-1967 | 2015-05-26 |
| 1902295124 | William George Turk | Nurse Anesthetist, Certified Registered | 112 Riverchase Blvd, Madison, TN 37115-2031 | 2015-01-12 |
| 1043581770 | Bradley Thomas Wagner | Nurse Anesthetist, Certified Registered | 3314 Leyton Ln, Madison, WI 53713-3407 | 2012-01-26 |
| 1336445329 | Courtney Mcguigan | Nurse Anesthetist, Certified Registered | 41 Edinburgh Ln, Madison, CT 06443-3411 | 2011-02-08 |
| 1841509445 | Tabatha Jo Berry | Nurse Anesthetist, Certified Registered | 420 Throckmorton Rd, Madison, NC 27025-7940 | 2010-09-29 |
| 1538497573 | John Christopher Simmons | Nurse Anesthetist, Certified Registered | 159 Seville Way, Madison, MS 39110-8171 | 2009-12-03 |
| 1821166943 | Therese Marie Donnelly | Nurse Anesthetist, Certified Registered | 76 Genesee Lane, Madison, CT 06443 | 2006-11-30 |
| 1659333201 | Michael G Landgraf | Nurse Anesthetist, Certified Registered | 20 Park Street, Ste #360, Madison, WI 53715 | 2006-04-06 |
| Find all providers in MADISON | ||||
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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.