MS. SHIRLEY A JAUTZ CRNA NPI 1003007329

Nurse Anesthetist, Certified Registered in Poplar Bluff, MO

About SHIRLEY JAUTZ

Shirley Jautz is a provider in Poplar Bluff, MO. The NPI number assigned to this provider is 1003007329. 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 4 years ago.

NPI1003007329 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 NameMS. SHIRLEY A JAUTZ CRNA
Provider Location Address221 PHYSICIANS PARK POPLAR BLUFF, MO 63901 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 Address5983 US HIGHWAY 63 POMONA, MO 65789 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.
GenderFemale
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?Yes
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 Date08-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-09-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MS. SHIRLEY A JAUTZ CRNA
221 PHYSICIANS PARK
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 727-9080
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Mailing Address

MS. SHIRLEY A JAUTZ CRNA
5983 US HIGHWAY 63
POMONA, MO
ZIP 65789
Phone: (573) 686-5550
Fax: (573) 686-2139

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.129615
License StateMO
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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
917851503MEDICAID (05)MO
818074008MEDICARE PIN (08)MO

Map Location


MS. SHIRLEY A JAUTZ CRNA address is 221 PHYSICIANS PARK POPLAR BLUFF, MO 63901

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033536974RAY E PETERS DO INC
Organization
Internal Medicine (Hematology & Oncology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 778-9422
1326025412HEARTLAND RADIOLOGY, INC.
Organization
Radiology (Diagnostic Radiology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1407845472POPLAR BLUFF MEDICAL PARTNERS, LLC
Organization
Clinic/Center (Radiology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1679550784ZUBRES RADIOLOGY INC
Organization
Radiology (Diagnostic Ultrasound)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1679859219VISIONARY RADIOLOGY, PC
Organization
Radiology (Diagnostic Radiology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1750328449DR. RAY E. PETERS JR. D.O
Individual
Internal Medicine (Hematology & Oncology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(208) 664-4026
1811030737DR. CATHY JO PARSELLS D.O.
Individual
Radiology (Diagnostic Radiology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080
1932186004 DONNA L ALMOND D.O.
Individual
Radiology (Diagnostic Radiology)221 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
(573) 727-9080