MRS. KATHLEEN LYN PECK


Address: 333 Borthwick Ave, Portsmouth, NH 03801-7128
Phone: 6034334045

MRS. KATHLEEN LYN PECK (NPI# 1871155119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871155119
Entity Type Individual
Full Name MRS. KATHLEEN LYN PECK
Other Name KATHLEEN LYN DETESO
Credential CRNA
Practice Address 333 Borthwick Ave
Portsmouth
NH 03801-7128
Mailing Address 13 Bittersweet Ln
Stratham
NH 03885-2565
Practice Telephone 6034334045
Practice Fax Number 6035594123
Mailing Telephone 6039571863
Enumeration Date 2019-07-08
Last Update Date 2020-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 059649-23 NH Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHLEEN PECK

NPI Name Taxonomy Address Enumeration
1699911818 Kathleen Cassidy Peck Physical Therapist 9281 Office Park Cir, Suite 110, Elk Grove, CA 95758-8068 2008-12-17
1821284332 Kathleen Peck Social Worker 231 Main St, Suite 300, Brockton, MA 02301-4342 2007-09-18
1275749863 Kathleen Marie Peck Registered Nurse 11670 Atwood Rd, Auburn, CA 95603-9522 2007-05-14

Office Location

Street Address 333 BORTHWICK AVE
City PORTSMOUTH
State NH
Zip Code 03801-7128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306847710 Andrew Joseph Kulesza Anesthesiology 333 Borthwick Ave, Portsmouth, NH 03801-7128 2005-08-09
1689280109 Portsmouth Surgical Specialists LLC Anesthesiology 333 Borthwick Ave, Portsmouth, NH 03801-7128 2020-09-21
1841808573 Sarah Beasley Nurse Practitioner 333 Borthwick Ave, Portsmouth, NH 03801-7128 2020-07-20
1144844044 Wesley James Phillips Student in an Organized Health Care Education/Training Program 333 Borthwick Ave, Portsmouth, NH 03801 2020-06-05
1093338055 Neelam Grewal Student in an Organized Health Care Education/Training Program 333 Borthwick Ave, Portsmouth, NH 03801-7128 2020-05-26
1124641469 Parisa Yazdani Kashef Student in an Organized Health Care Education/Training Program 333 Borthwick Ave, Portsmouth, NH 03801-7128 2020-05-21
1972123693 Thomas Hamilton Warren Pharmacist 333 Borthwick Ave, Portsmouth, NH 03801-7128 2020-04-22
1073132460 Gregory Carbonella Internal Medicine 333 Borthwick Ave, Portsmouth, NH 03801-7128 2020-04-15
1942829767 William Ciurylo Student in an Organized Health Care Education/Training Program 333 Borthwick Ave, Portsmouth, NH 03801-7128 2020-04-11
1801415021 Waleed Ismail Student in an Organized Health Care Education/Training Program 333 Borthwick Ave, Portsmouth, NH 03801-7128 2020-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407470305 Nisha Vanmali Student in an Organized Health Care Education/Training Program 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 2020-06-05
1528687456 Raji Shaher Student in an Organized Health Care Education/Training Program Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 2020-04-10
1790262988 Naturae, LLC Naturopath 501 Islington St., Ste 2b, Portsmouth, NH 03801 2018-07-20
1053854224 Dewey Theodore Kahn II Specialist 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 2016-11-21
1609322635 Cvs Pharmacy Pharmacist 674 Islington Street, Portsmouth, NH 03801 2016-08-30
1164978375 Maureen Mcpadden Pharmacist 117 Bow St Unit 114, Portsmouth, NH 03801 2016-08-28
1679922579 Portsmouth Eye Pllc Optometrist 38 Daniel St., Portsmouth, NH 03801 2016-06-10
1659734127 Sarah Jean Trafton Nurse Practitioner 79 Wibird St Apt #1, Portsmouth, NH 03801 2016-04-01
1184095002 Holding Hope Healing Services, LLC. Social Worker 104 Congress St., Suite 303, Portsmouth, NH 03801 2015-10-19
1093185415 Johanna Miriam Simmerman Mauss Naturopath 501 Islington Street, Suite 2b, Portsmouth, NH 03801 2015-09-28
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730129628 Olivia Annette Brown Nurse Anesthetist, Certified Registered 3636 High Street, Maryview Medical Center, Portsmouth, VA 23707 2006-06-07
1053391839 John Edward Lenahan Nurse Anesthetist, Certified Registered 3200 Tyre Neck Rd, Suite101, Portsmouth, VA 23703-3329 2006-01-18
1316932411 Aimee Marie Darling Nurse Anesthetist, Certified Registered 3115 Riveredge Dr, Portsmouth, VA 23703-4307 2005-09-14
1427676279 Edwiin D Parra Munoz Nurse Anesthetist, Certified Registered 1805 27th St, Portsmouth, OH 45662-2640 2020-07-08
1386262251 Charles Richard Roberts IIi Nurse Anesthetist, Certified Registered 1805 27th St, Portsmouth, OH 45662-2640 2020-07-08
1518582188 Angelo Ambridge Nurse Anesthetist, Certified Registered 3636 High St, Portsmouth, VA 23707-3236 2020-06-10
1790308252 Larry C Beasley Jr. Nurse Anesthetist, Certified Registered 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-05-19
1063035673 Keenart Tio Nurse Anesthetist, Certified Registered 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-05-19
1215550835 Julia C Camp Nurse Anesthetist, Certified Registered 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-05-19
1003439548 Kristen Evette Brown Nurse Anesthetist, Certified Registered 3636 High St, Portsmouth, VA 23707-3236 2020-05-19
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Competitor

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City PORTSMOUTH
Zip Code 03801

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Dataset Information

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.

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