SHANE STEVENS


Address: 269 S Candy Ln, Cottonwood, AZ 86326-4158
Phone: 9286396150

SHANE STEVENS (NPI# 1568025716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 E Lefevre Rd, Sterling, IL 610811279 8156250400

Other Providers SHANE STEVENS

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

Office Location

Street Address 269 S CANDY LN
City COTTONWOOD
State AZ
Zip Code 86326-4158

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City COTTONWOOD
Zip Code 86326

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Dataset Information

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.

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