SHELBY SANFORD WOLTJEN (NPI# 1316454820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316454820 |
| Entity Type | Individual |
| Full Name | SHELBY SANFORD WOLTJEN |
| Credential | CRNA |
| Practice Address |
719 Thompson Ln Ste 30330 Nashville TN 37204-4701 |
| Mailing Address |
112 Kensington Dr Madison AL 35758-7839 |
| Practice Telephone | 6159362000 |
| Mailing Telephone | 2564170387 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 25548 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 1-140038 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Sivley Rd Sw, Huntsville, AL 358014421 | 2562651000 | |
| 3601 The Vanderbilt Clinic, Nashville, TN 372324701 | 6153223000 |
| Street Address |
719 THOMPSON LN STE 30330 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37204-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922048321 | Wendi R. Mason | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2006-06-07 |
| 1134766975 | Charina J Pelayo | Nurse Anesthetist, Certified Registered | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-11-27 |
| 1265085237 | Stacey Moore | Social Worker | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-07-18 |
| 1205344009 | Redor Nuri Abdullah | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204 | 2018-01-14 |
| 1265954911 | Mary Elizabeth Wood | Psychologist | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2017-07-14 |
| 1902255367 | Alexander H De Castro-abeger | Internal Medicine | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2016-06-07 |
| 1639527559 | Sylvia C Hagberg-fitch | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2016-06-01 |
| 1285019091 | Carlos Alberto Plancarte | Pediatrics | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2015-07-22 |
| 1750761516 | Stuart Abel | Surgery | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2015-06-05 |
| 1588041180 | Laura Joyce Vandelaar | Otolaryngology | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2015-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304893 | Results-ast Jv, LLC | Physical Therapist | 2659 8th Avenue South, Nashville, TN 37204 | 2020-10-21 |
| 1811516933 | Kinsley Ojukwu | Student in an Organized Health Care Education/Training Program | Oho Primary Care North, 719 Thompson Ln Suite 20400, Nashville, TN 37204 | 2020-04-09 |
| 1649777350 | Ian Bentley | Student in an Organized Health Care Education/Training Program | 719 Thompson Lane, Pod B, Nashville, TN 37204 | 2018-04-09 |
| 1134622160 | Joshua Shane Carty | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Pod A, Nashville, TN 37204 | 2018-03-15 |
| 1205340197 | Cam LLC | Chiropractor | 2694 Fessey Ct., Nashville, TN 37204 | 2017-11-30 |
| 1679097141 | Lacey Cross | Nurse Practitioner | 2694 Fessey Court, Nashville, TN 37204 | 2017-07-27 |
| 1346763042 | Lucy Elaine Davidson | Counselor | 416 East Iris Dr., Nashville, TN 37204 | 2017-07-25 |
| 1316468358 | Jasmine Kennedy Jester | Counselor | 717 Hart Lane, Nashville, TN 37204 | 2017-06-29 |
| 1447789649 | Jessica Ramey | Counselor | 4623 Trousdale Drive, Nashville, TN 37204 | 2017-06-09 |
| 1023555893 | Anna Claire Lowder | Marriage & Family Therapist | 701 Bradford Avenue, Nashville, TN 37204 | 2017-01-31 |
| Find all providers in zip 37204 | ||||
| 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 |
|---|---|---|---|---|
| 1255788345 | Sarah Baugham | Nurse Anesthetist, Certified Registered | 2734 Sherrod Rd, Nashville, NC 27856-9807 | 2016-05-18 |
| 1730548868 | Nashoria K. Aclis | Nurse Anesthetist, Certified Registered | 270 Tampa Dr Apt D12, Nashville, TN 37211-3970 | 2016-02-17 |
| 1073919619 | Amanda Young | Nurse Anesthetist, Certified Registered | 222 22nd Ave N Ste 300, Nashville, TN 37203-0802 | 2014-11-10 |
| 1356743033 | Amsurg Santa Fe Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1a Burton Hills Blvd., Attn: L&c, Nashville, TN 37215-6103 | 2014-09-24 |
| 1619392032 | Karla Dawn Baker | Nurse Anesthetist, Certified Registered | 110 29th Ave. North Suite 301, Nashville, TN 37203 | 2014-02-21 |
| 1487076352 | Kristen Mcleod | Nurse Anesthetist, Certified Registered | 110 29th Ave N Ste 301, Nashville, TN 37203-6001 | 2014-01-13 |
| 1508102930 | Melissa James | Nurse Anesthetist, Certified Registered | 3503 General Hood Trl, Nashville, TN 37204-3814 | 2012-12-12 |
| 1063709392 | Stage Two Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 210 25th Ave N Ste 920, Nashville, TN 37203-9609 | 2011-07-07 |
| 1629374640 | R Craig Merrifield | Nurse Anesthetist, Certified Registered | 413 Stone Ln, Nashville, GA 31639-5163 | 2011-02-09 |
| 1902137821 | Shannon Renee Fulton | Nurse Anesthetist, Certified Registered | 1215 12th Ave S, Suite 3108, Nashville, TN 37203-4922 | 2010-01-15 |
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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.