LEE RIVARD CRNA NPI 1003871229

Nurse Anesthetist, Certified Registered in St Paul, MN

About LEE RIVARD

Lee Rivard is a provider in St Paul, MN. The NPI number assigned to this provider is 1003871229. The practitioner's primary taxonomy code is Nurse Anesthetist, Certified Registered (367500000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003871229 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name LEE RIVARD CRNA
Provider Location Address640 JACKSON ST MAIL STOP 11503P ST PAUL, MN 55101 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address8100 34TH AVE S 21110Q BLOOMINGTON, MN 55425 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-19-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

LEE RIVARD CRNA
640 JACKSON ST
MAIL STOP 11503P
ST PAUL, MN
ZIP 55101
Phone: (651) 254-3456
Fax: (651) 254-3048
Get Directions

Mailing Address

LEE RIVARD CRNA
8100 34TH AVE S
21110Q
BLOOMINGTON, MN
ZIP 55425
Phone: (952) 883-7961
Fax: (952) 883-5395

Primary Taxonomy

Taxonomy Code367500000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationNurse Anesthetist, Certified Registered
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.R0840532
License StateMN
Taxonomy Description(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.

Map Location


LEE RIVARD CRNA address is 640 JACKSON ST MAIL STOP 11503P ST PAUL, MN 55101

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043280530DR. GREG A BROWN M.D., PH.D.
Individual
Orthopaedic Surgery640 JACKSON ST
SAINT PAUL, MN 55101
(651) 254-1514
1164493516 RICHARD J HILGER MD
Individual
Internal Medicine640 JACKSON ST MC21110Q
SAINT PAUL, MN 55101
(651) 254-9594
1225009681 AMY P BARGER MD
Individual
Internal Medicine640 JACKSON ST
ST PAUL, MN 55101
(952) 883-6181
1285606467 WILLIAM J FOX MA
Individual
Audiologist640 JACKSON ST MAIL STOP 11101N
SAINT PAUL, MN 55101
(651) 254-3263
1306818182 HOWARD R EPSTEIN MD
Individual
Internal Medicine640 JACKSON ST
SAINT PAUL, MN 55101
(123) 123-1234
1376514737 LINDA AMAIKWU RUSHING NP
Individual
Nurse Practitioner640 JACKSON ST
SAINT PAUL, MN 55101
(952) 883-7172
1396717922 ELIZABETH T JORDAN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)640 JACKSON ST MC 11103E
SAINT PAUL, MN 55101
(651) 254-4796
1487655882 MARK A BISIGNANI MD
Individual
Radiology (Radiation Oncology)640 JACKSON ST MAILSTOP #11202E
SAINT PAUL, MN 55101
(651) 254-2039
1578559928MS. RUTH ELLEN LINDEMAN PA-C
Individual
Physician Assistant640 JACKSON ST
SAINT PAUL, MN 55101
(651) 254-2779
1659342012 MIGUEL A RUIZ DIAZ MD
Individual
Internal Medicine640 JACKSON ST MC21110Q
SAINT PAUL, MN 55101
(651) 254-9594
1679545453 KAREN A MOELLER MD
Individual
Internal Medicine640 JACKSON ST
SAINT PAUL, MN 55101
(123) 123-1234
1689646960 BHAVIN I PATEL MD
Individual
Internal Medicine640 JACKSON ST
SAINT PAUL, MN 55101
(123) 123-1234
1700858081 THOMAS J YACOVELLA MD
Individual
Internal Medicine640 JACKSON ST
SAINT PAUL, MN 55101
(123) 123-1234
1710959085 JAMES M RISSER MD
Individual
Internal Medicine640 JACKSON ST MC21110Q
SAINT PAUL, MN 55101
(651) 254-9594
1740251107 DANIEL M GOLDBLATT MD
Individual
Family Medicine640 JACKSON ST
SAINT PAUL, MN 55101
(123) 123-1234
1790755494 CARL A PATOW MD
Individual
Otolaryngology640 JACKSON ST MC 11503J
ST PAUL, MN 55101
(651) 254-6701
1821069287 ZHONG ZHAO MD
Individual
Internal Medicine640 JACKSON ST MC21110Q
SAINT PAUL, MN 55101
(651) 254-9594
1851363394 NED C BRUCE PA
Individual
Physician Assistant640 JACKSON ST MC 11102H
ST PAUL, MN 55101
(651) 254-3792
1932171477 ELAINE C NELSON CNS
Individual
Clinical Nurse Specialist640 JACKSON ST MC 11102H
ST PAUL, MN 55101
(651) 254-3462
1972575256 JASON M ROBERTSON MD
Individual
Internal Medicine640 JACKSON ST
SAINT PAUL, MN 55101
(123) 123-1234