KYLE M SHADLE (NPI# 1265533434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265533434 |
| Entity Type | Individual |
| Full Name | KYLE M SHADLE |
| Credential | CRNA |
| Practice Address |
1708 Coit Rd Suite 220a Plano TX 75075-5024 |
| Practice Telephone | 9725966400 |
| Practice Fax Number | 9728674766 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 710328 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL CRNA LICENSE | ARNP9186616 | 01 |
| FL | BCBS OF FL # | G3766 | 01 |
| Street Address |
1708 COIT RD SUITE 220A |
| City | PLANO |
| State | TX |
| Zip Code | 75075-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932175122 | Annette Payne | Dietitian, Registered | 1708 Coit Rd, Unit 100, Plano, TX 75075-5024 | 2006-02-27 |
| 1114382199 | Diabetesamerica | Clinic/Center | 1708 Coit Rd, Suite 100, Plano, TX 75075-5024 | 2015-12-17 |
| 1376915561 | Virginia Harrier | Registered Nurse | 1708 Coit Rd, Suite 100, Plano, TX 75075-5024 | 2015-10-27 |
| 1295122836 | Mary Shorney | Dietitian, Registered | 1708 Coit Rd, Plano, TX 75075-5024 | 2015-04-21 |
| 1821483868 | Oculoplastic Associates of Texas Pllc | Ophthalmology | 1708 Coit Rd, Suite 200, Plano, TX 75075-5024 | 2015-04-06 |
| 1104247790 | Vanessa Enriquez | Dietitian, Registered | 1708 Coit Rd, Ste 100, Plano, TX 75075-5024 | 2013-12-26 |
| 1003160045 | Preventative and Therapeutic Cardiovascular Associates | Clinic/Center | 1708 Coit Rd, Suite 220-b, Plano, TX 75075-5024 | 2012-10-29 |
| 1124331988 | Pragya Gupta | Internal Medicine | 1708 Coit Rd, Plano, TX 75075-5024 | 2010-07-22 |
| 1598076044 | Sue Ellen Baum Md LLC | Internal Medicine | 1708 Coit Rd, Suite 295, Plano, TX 75075-5041 | 2010-06-30 |
| 1821311176 | Texas Health Clinics 2 Pllc | Chiropractor | 1708 Coit Rd, Ste 200, Plano, TX 75075-5024 | 2010-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164088043 | Kinder Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 3405 Therondunn Dr, Plano, TX 75023-6007 | 2019-05-15 |
| 1962965814 | The Anesthesia Butler LLC | Nurse Anesthetist, Certified Registered | 1600 Coit Rd Ste 401a, Plano, TX 75075-6173 | 2019-04-08 |
| 1790213528 | Commonwealth Anesthesia Associates Ltd | Nurse Anesthetist, Certified Registered | 1600 Coit Rd Ste 301, Plano, TX 75075-6172 | 2017-05-24 |
| 1508390519 | Petersen Anesthesia Services | Nurse Anesthetist, Certified Registered | 5085 Park Rd, Suite 180b, Plano, TX 75093-2593 | 2017-04-17 |
| 1265710115 | Liberty Anesthesia Management Professionals Pllc | Nurse Anesthetist, Certified Registered | 5316 W. Plano Pkwy, Plano, TX 75093-4640 | 2011-07-26 |
| 1881834471 | Sharlotte K Morgan | Nurse Anesthetist, Certified Registered | 3308 Preston Rd Ste 350-283, Plano, TX 75093-7453 | 2009-02-23 |
| 1033266572 | Amanda Frampton Watts | Nurse Anesthetist, Certified Registered | 6712 Hornbeam Ct, Plano, TX 75023-2047 | 2007-01-05 |
| 1659343788 | Katrina L. Franklin | Nurse Anesthetist, Certified Registered | 5500 Democracy Dr, Suite 150, Plano, TX 75024-3593 | 2006-02-02 |
| 1689650863 | Ragheda Halcomb | Nurse Anesthetist, Certified Registered | 3501 Twin Lakes Way, Plano, TX 75093-7556 | 2005-12-19 |
| 1780683433 | John C. Hartley | Nurse Anesthetist, Certified Registered | 5916 Sicilian Cir, Plano, TX 75093-7016 | 2005-07-15 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.