SHELBY LANE HARRISON (NPI# 1285199133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285199133 |
| Entity Type | Individual |
| Full Name | SHELBY LANE HARRISON |
| Other Name | SHELBY LANE HOLDEN |
| Credential | CRNA |
| Practice Address |
609 W Maple Ave Springdale AR 72764-5335 |
| Mailing Address |
601 W Maple Ave Ste 503 Springdale AR 72764-5376 |
| Practice Telephone | 4797513722 |
| Mailing Telephone | 4797513722 |
| Mailing Fax Number | 4797511099 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R096215 | AR | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 120139 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053947184 | Shelby Harrison | Physician Assistant | 710 Oak Gln, Irvine, CA 92618-4718 | 2020-03-20 |
| Street Address |
609 W MAPLE AVE |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676272 | Regency Hospital of Northwest Arkansas, LLC | Long Term Care Hospital | 609 W Maple Ave, 6th Floor, Springdale, AR 72764-5335 | 2005-08-12 |
| 1356957799 | Victoria Ashley Sollestre | Physician Assistant | 609 W Maple Ave, Springdale, AR 72764-5335 | 2020-09-21 |
| 1588279475 | Ashley Early | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5394 | 2020-09-09 |
| 1710504931 | Sandra Lee Moore | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2020-07-03 |
| 1386291656 | Dominique Ann Ertolacci | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-08-21 |
| 1861055204 | Dustin J Franklin | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-22 |
| 1407419278 | Samuel Tanner Burks | Registered Nurse | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-17 |
| 1750865929 | Teqienna Dianne Randall | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-09-24 |
| 1588144182 | David R Massey Md Pllc | Psychiatry & Neurology | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-08-14 |
| 1619453495 | Jacquelyn Lange-halley Md Pllc | Psychiatry & Neurology | 609 W Maple Ave, Springdale, AR 72764 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| 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 |
|---|---|---|---|---|
| 1932494218 | Leslie Henry | Nurse Anesthetist, Certified Registered | 5303 Bryant Pl, Springdale, AR 72764-2586 | 2011-06-14 |
| 1649399981 | Perry C Wells | Nurse Anesthetist, Certified Registered | 607 E Maple, Springdale, AR 72764 | 2007-03-28 |
| 1326125113 | Chase Placek Floyd Meggers | Nurse Anesthetist, Certified Registered | 601 W Maple Avenue, Suite 503, Springdale, AR 72764-5376 | 2006-11-01 |
| 1417937657 | Vernon O Tucker | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2006-01-21 |
| 1861055204 | Dustin J Franklin | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-22 |
| 1053890327 | Shannon Nguyen | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764 | 2018-08-08 |
| 1477045003 | Jessica Nichole Ratkovic | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764 | 2018-05-30 |
| 1396249629 | Sandy Leigh Hammon-rauchle | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764 | 2018-03-21 |
| 1780112565 | B Lane Aprn-crna | Nurse Anesthetist, Certified Registered | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 | 2017-05-24 |
| 1467992792 | Anna Cathey Kennedy | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2017-03-06 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
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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.