Mistyrushingcrna, Inc.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

617372 Issued in CA

Legal business name

MISTYRUSHINGCRNA, INC.

Practice address

505 Melvin St
Petaluma, CA 94952-2465

Phone

(707) 774-5907

NPI assigned

Nov 27, 2013

Organization subpart

No

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

Authorized official

Name

Misty Dawn Rushing, CRNA

Title

President

Phone

(707) 774-5907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1851722938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MELVIN ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522465",
            "telephone_number": "707-774-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MELVIN ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522465",
            "telephone_number": "707-774-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTYRUSHINGCRNA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-774-5907",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "617372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Elena Minero, MFT
• Kala Minkley
• Roger Evan Minkow, M.D.
• Harvey Minnick
• Erick Ruiz Miranda, M.D.
• Mitchell Kauk
• Jennifer Mitchell, MA, LMFT
• Selena Emily Mitchell, LAC, AMFT
• Cheryl L Mittry, RESPITE CARE
• Morgan Miyano

• Certified Registered Nurse Anesthetist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.