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CARRIE DENISE MIKKELSON-HEREDIA CRNA NPI 1649345760


NPI Information

NPI: 1649345760
Provider Name: CARRIE DENISE MIKKELSON-HEREDIA, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
450 N ROXBURY DR
SUITE 600
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 651-2280
Get Directions

Carrie Denise Mikkelson-heredia, CRNA is a nurse anesthetist certified registered in Beverly Hills, CA with 19 years of experience. The provider is (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. Carrie Denise Mikkelson-heredia, CRNA NPI is 1649345760. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

450 N ROXBURY DR
SUITE 600
BEVERLY HILLS, CA
ZIP 90210-232
Phone: (310) 651-2280
Fax: (310) 651-2260

The enumeration date for this NPI number is 11/22/2006 and was last updated on 7/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered3288CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13288OTHERCALIFORNIANURSE ANESTHETIST
2074093OTHERCALIFORNIACCNA CERTIFICATION
3508419OTHERCALIFORNIASTATE LICENSE NURSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.