KEVIN HANNAH, LLC


Address: 11446 Mountain Spring Dr, Fayetteville, AR 72701-0422
Phone: 4794453394

KEVIN HANNAH, LLC (NPI# 1902414584) 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) 1902414584
Entity Type Organization
Organization Name KEVIN HANNAH, LLC
Practice Address 11446 Mountain Spring Dr
Fayetteville
AR 72701-0422
Practice Telephone 4794453394
Mailing Telephone 4794453394
Enumeration Date 2020-07-20
Last Update Date 2020-07-20
Authorized Official Name KEVIN HANNAH (PRESIDENT)
Authorized Official Telephone 4794453393
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 11446 MOUNTAIN SPRING DR
City FAYETTEVILLE
State AR
Zip Code 72701-0422

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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.

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City FAYETTEVILLE
Zip Code 72701

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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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