ROBERTA SUZANNE MCBRIDE CRNA
NPI 1629075775
Nurse Anesthetist, Certified Registered in Decatur, IL
NPI Status: Active since July 05, 2005
Contact Information
1800 E LAKE SHORE DR
DECATUR, IL
ZIP 62521
Phone: (217) 464-2729
Fax: (217) 464-1693
- Individual
- Female
- Nurse Anesthetist, Certified Registered
About ROBERTA MCBRIDE
This page provides the complete NPI Profile along with additional information for Roberta Mcbride, a provider established in Decatur, Illinois with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1629075775 assigned on July 2005. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1629075775
- Provider Name
- ROBERTA SUZANNE MCBRIDE CRNA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1800 E LAKE SHORE DR DECATUR, IL 62521
- Location Phone
- (217) 464-2729
- Location Fax
- (217) 464-1693
- Mailing Address
- PO BOX 425 BETHANY, IL 61914
- Mailing Phone
- (217) 665-3609
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-05-2005
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License State
- IL
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205287 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 0 | 7 | 5 | 7 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 0 | 7 | 10 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 0 + 7 + 1 + 0 + 7 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1629075775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093712002 | MARY A BEAM CRNA Individual | Nurse Anesthetist, Certified Registered | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2729 |
| 1023095601 | SOMAN NAIR MD Individual | Radiology (Diagnostic Radiology) | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2984 |
| 1982677696 | RALPH MARTIN RAY CRNA Individual | Nurse Anesthetist, Certified Registered | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2966 |
| 1528029527 | ALAN F FRIGY MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2966 |
| 1194765909 | RITA A PRATER CROUCH CRNA Individual | Nurse Anesthetist, Certified Registered | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2966 |
| 1780625574 | MRS. SHEILA ANN HOLLINDEN CRNA Individual | Nurse Anesthetist, Certified Registered | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2966 |
| 1730115494 | SHARON ROSE SEMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2966 |
| 1649202227 | SUSAN ELAINE RAY CRNA Individual | Nurse Anesthetist, Certified Registered | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2966 |
| 1205852142 | KOLEEN BARNELL M.D. Individual | Emergency Medicine | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2966 |
| 1366469991 | JOSE REYES M.D. Individual | Emergency Medicine | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2966 |
| 1669523536 | MRS. SALLIE K FISCHER RD,LDN Individual | Dietitian, Registered | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2541 |
| 1811036312 | DR. BENJAMIN ROBERT COLEMAN MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1800 E LAKE SHORE DR DEPARTMENT OF PATHOLOGY DECATUR, IL 62521 (217) 464-2060 |
| 1245449057 | MS. LAURA ELIZABETH SECHREST R.D. Individual | Dietitian, Registered | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2451 |
| 1972707453 | MRS. JANELLE LYNN ISAACS SLP Individual | Speech-Language Pathologist | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2415 |
| 1093910507 | DR. JONATHAN B VASQUEZ M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2966 |
| 1679770119 | MRS. TONYA SUE PETERS SLP Individual | Speech-Language Pathologist | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2415 |
| 1053510040 | MRS. KRISTEN LEE GROHNE SLP Individual | Speech-Language Pathologist | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2415 |
| 1437322823 | MRS. SOLFIA MEDINA SAULOG M.D. Individual | General Practice | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-2870 |
| 1952560013 | ANESTHESIA SERVICES, LLC Organization | Anesthesiology | 1800 E LAKE SHORE DR SUITE 2500 DECATUR, IL 62521 (217) 464-5839 |
| 1821257783 | ANESTHESIA PAIN SERVICES LLC Organization | Pain Medicine (Interventional Pain Medicine) | 1800 E LAKE SHORE DR DECATUR, IL 62521 (217) 464-5839 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629075775, enumerated in the NPI registry as an "individual" on July 05, 2005
The provider is located at 1800 E Lake Shore Dr Decatur, Il 62521 and the phone number is (217) 464-2729
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 05, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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