SHANE STEVENS (NPI# 1568025716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568025716 |
Entity Type | Individual |
Full Name | SHANE STEVENS |
Credential | CRNA |
Practice Address |
269 S Candy Ln Cottonwood AZ 86326-4158 |
Mailing Address |
100 E Lefevre Rd Sterling IL 61081-1279 |
Practice Telephone | 9286396150 |
Mailing Telephone | 8156250400 |
Enumeration Date | 2019-04-15 |
Last Update Date | 2020-06-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | 230514 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
N | 367500000X | Nurse Anesthetist, Certified Registered | 209019258 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
100 E Lefevre Rd, Sterling, IL 610811279 | 8156250400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720558661 | Shane Alan Stevens | Optometrist | 272 Cottage St, Sanford, ME 04073-1815 | 2018-12-04 |
1104395755 | Shane Stevens | Community Health Worker | 320 Executive Dr, Marion, OH 43302-6373 | 2018-11-13 |
Street Address |
269 S CANDY LN |
City | COTTONWOOD |
State | AZ |
Zip Code | 86326-4158 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356345383 | Eugene M.r. Charlebois | Emergency Medicine | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2005-06-08 |
1306463740 | Riley Benjamin Johnson | Dietitian, Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-07-01 |
1821619891 | Joshua Thomas Haywood | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-30 |
1396364162 | Jeremy Schmoyer | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-13 |
1144849993 | Miranda Rose Anderson | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-12 |
1659900876 | Eddie Khav | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4170 | 2020-04-08 |
1790314961 | Michelle Anne Pope | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2020-04-08 |
1699320390 | Emily Kathryn Danca | Dietitian, Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-08-08 |
1760036909 | Tarra Denise Young | Nurse Practitioner | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-07-25 |
1275195950 | Samer Saeed Hasson | Student in an Organized Health Care Education/Training Program | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
Find all providers in zip 86326 |
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 |
---|---|---|---|---|
1033385414 | Avalos Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | 651 W Mingus Ave Ste 2a, Cottonwood, AZ 86326-4017 | 2008-05-05 |
1649282948 | Judy A. Cowan | Nurse Anesthetist, Certified Registered | 1005 S 5th St, Cottonwood, AZ 86326-4330 | 2006-08-13 |
1598787889 | Stephen K Lindsey | Nurse Anesthetist, Certified Registered | 269 South Candy Lane, Cottonwood, AZ 86326-8328 | 2006-07-24 |
1710543889 | Corey Warner | Nurse Anesthetist, Certified Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-05-14 |
1376017459 | Nicholas Finlinson | Nurse Anesthetist, Certified Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2019-01-11 |
1528559143 | Joseph Scot Denhalter | Nurse Anesthetist, Certified Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2018-05-21 |
1710482740 | Trevor Thorpe | Nurse Anesthetist, Certified Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2018-03-30 |
1376089417 | Lisa Strait | Nurse Anesthetist, Certified Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2017-01-12 |
1356794721 | Kevin Lienesch | Nurse Anesthetist, Certified Registered | 701 Lewiston St, Cottonwood, ID 83522-9750 | 2016-07-20 |
1699103911 | Paul More IIi | Nurse Anesthetist, Certified Registered | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2013-10-23 |
Find all providers in COTTONWOOD |
City | COTTONWOOD |
Zip Code | 86326 |
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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.