Mary Jean Flowerday, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

200460022CRNA Issued in OR

Practice address

662 Kingwood St
Florence, OR 97439-9305

Phone

(502) 212-9918

NPI assigned

Sep 6, 2005

Last updated

Jul 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesiology Associates PSC

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1164400701

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Kleinert Kutz and Associates Hand Care Center

  • Surgery of the Hand (Surgery) Physician
  • Louisville, KY
  • NPI 1235123118
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1407840564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 KINGWOOD ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399305",
            "telephone_number": "502-212-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 KINGWOOD ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399305",
            "telephone_number": "502-212-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERDAY",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1637A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "200460022CRNA",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "1033209",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28148234",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "087006819RN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74397498",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alec Fedorov, M.D.
• Florence Chiropractic Clinic, P.C.
• Florence Dental Clinic
• Florence Medical Inc (Florence Medical Equipment)
• Sara Covey Flores
• Robert Steven Flowerday, CRNA
• Focal Point
• William A. Foster Jr., LICENSED DENTURIST
• William Frank Foster, MD
• Fred Meyer Stores Inc (Fred Meyer Pharmacy)

• Certified Registered Nurse Anesthetist in Florence, OR
• Providers in Florence, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.