MS. STEFANY MCMULLEN (NPI# 1891148094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891148094 |
| Entity Type | Individual |
| Full Name | MS. STEFANY MCMULLEN |
| Credential | CRNA |
| Practice Address |
5230 Eola Dr Nw Salem OR 97304-3355 |
| Practice Telephone | 6616994532 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 201608320CRNA-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 200843420RN | OR | Student, Health Care |
| Street Address |
5230 EOLA DR NW |
| City | SALEM |
| State | OR |
| Zip Code | 97304-3355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| Find all providers in zip 97304 | ||||
| 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 |
|---|---|---|---|---|
| 1063961928 | Chase Bazil | Nurse Anesthetist, Certified Registered | 15 N 100 W, Salem, UT 84653-9541 | 2016-10-03 |
| 1265817712 | Elizabeth Faber | Nurse Anesthetist, Certified Registered | 890 Oak Street Se, Salem, MA 97301 | 2015-07-27 |
| 1487904298 | Jerry Antony Hadlock | Nurse Anesthetist, Certified Registered | 684 E 320 S, Salem, UT 84653-8532 | 2012-09-19 |
| 1740426006 | Todd Louis Hixson | Nurse Anesthetist, Certified Registered | 630 Waldo Ave Se, Salem, OR 97302-3175 | 2008-12-16 |
| 1639168917 | Debra Lynne Skerlec-caylor | Nurse Anesthetist, Certified Registered | 2050 Allen Rd, Salem, OH 44460-1016 | 2005-10-19 |
| 1619447299 | Joshua Dodson | Nurse Anesthetist, Certified Registered | 1900 Electric Road, Salem, VA 24153 | 2018-11-27 |
| 1083125868 | Kathryn B Stewart | Nurse Anesthetist, Certified Registered | 1900 Electric Rd, Salem, VA 24153-7474 | 2017-10-19 |
| 1861921892 | Stefanie Navarro | Nurse Anesthetist, Certified Registered | 81 Highland Ave, Salem, MA 01970-2714 | 2017-06-04 |
| 1255874301 | Laura Melnick | Nurse Anesthetist, Certified Registered | 1995 E State St, Salem, OH 44460-2423 | 2016-11-22 |
| 1588106454 | Nicholas Inchak | Nurse Anesthetist, Certified Registered | 1995 E State St, Salem, OH 44460-2423 | 2016-11-09 |
| Find all providers in SALEM | ||||
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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.