SHANNON CARLSON (NPI# 1689653826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689653826 |
| Entity Type | Individual |
| Full Name | SHANNON CARLSON |
| Credential | CRNA |
| Practice Address |
1 William Carls Dr Commerce Twp MI 48382-2201 |
| Mailing Address |
Po Box 67000 Dept 203401 Detroit MI 48267-0002 |
| Practice Telephone | 2489373307 |
| Mailing Telephone | 9524429770 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704217760 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS OF MI | SC217760 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046615 | Shannon Carlson | Counselor | 2683 Route 34, Oswego, IL 60543-8577 | 2019-11-05 |
| 1700285582 | Shannon Carlson | Nurse Practitioner | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2014-08-18 |
| 1245325091 | Shannon L Carlson | Pharmacist | 1900 Ruddiman Dr, Muskegon, MI 49445-3148 | 2006-10-04 |
| Street Address |
1 WILLIAM CARLS DR |
| City | COMMERCE TWP |
| State | MI |
| Zip Code | 48382-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348589 | Creekside Internal Medicine | Hospitalist | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2020-08-26 |
| 1538725650 | Reema Sofia Siddiqui | Student in an Organized Health Care Education/Training Program | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2019-05-14 |
| 1497319909 | Jessica Grover | Student in an Organized Health Care Education/Training Program | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2019-04-30 |
| 1639732902 | Ellyn Joy Velasco | Student in an Organized Health Care Education/Training Program | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2019-04-22 |
| 1679136170 | Mariya Huralska | Student in an Organized Health Care Education/Training Program | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2019-04-19 |
| 1447813076 | Tamer Abuaita | Student in an Organized Health Care Education/Training Program | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2019-04-18 |
| 1316424286 | Ark Consulting, Pllc | Anesthesiology | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2018-07-24 |
| 1043707953 | Javier Eduardo Arce-victoria | Student in an Organized Health Care Education/Training Program | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2018-04-16 |
| 1548767114 | Eric John Snowden | Student in an Organized Health Care Education/Training Program | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2018-04-10 |
| 1942706916 | Meri Tarockoff | Student in an Organized Health Care Education/Training Program | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2018-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700373933 | Kevin Piper | Occupational Therapist | 3517 Clark Circle, Commerce, MI 48382 | 2018-04-13 |
| 1215483953 | Jodi Lynn Van Proeyen | Community Health Worker | 8749 Buckskin Drive, Commerce Township, MI 48382 | 2016-09-01 |
| 1912382532 | Lindsay Anne Brossy | Nurse Practitioner | 8906 Commerce Rd Unit 5, Commerce Twp, MI 48382 | 2015-07-24 |
| 1386991008 | Joao Najar | Dentist | 1440 Woodview Lane, Commerce, MI 48382 | 2012-08-13 |
| 1275828709 | Stacy Ann Madany | Physician Assistant | 9640 Commerce Road, Suite 100, Commerce, MI 48382 | 2011-06-13 |
| 1801038740 | Kent C. Bowden Do Pllc | Surgery | 1 William Carls Drive, Huron Valley Sinai Hospital, Commerce, MI 48382 | 2009-03-24 |
| 1982895207 | Stephanie Lee Adams | Specialist/Technologist | 8391 E. Commerce Rd., Suite 108, Commerce Township, MI 48382 | 2007-08-05 |
| 1780890459 | William Lee Thompson | Dentist | 2900 Union Lake Rd Ste 105, Commerce Township, MI 48382 | 2007-05-16 |
| 1184836082 | Kadima Jewish Support Services for Adults With Mental Illness | Community/Behavioral Health | 15999 West 12 Mile Road, Southfield, MI 48382 | 2007-05-04 |
| 1821132945 | Alan Elliot Parven | Optometrist | 3000 Commerce Crossing Rd, Commerce Township, MI 48382 | 2007-02-20 |
| Find all providers in zip 48382 | ||||
| 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 |
|---|---|---|---|---|
| 1558340653 | Margaret A Glynn | Nurse Anesthetist, Certified Registered | 1601 E Commerce Rd, Commerce Twp, MI 48382-1272 | 2006-01-17 |
| 1558759688 | Kristen J Nevi | Nurse Anesthetist, Certified Registered | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2014-12-23 |
| 1578951703 | Angela R Mattia | Nurse Anesthetist, Certified Registered | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2014-12-22 |
| 1659336592 | Paula Elaine Jankowski | Nurse Anesthetist, Certified Registered | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2006-04-20 |
| 1083679922 | Karen Pincheck | Nurse Anesthetist, Certified Registered | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2006-04-20 |
| 1043290711 | Jamie Lynn Clark | Nurse Anesthetist, Certified Registered | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2006-01-19 |
| 1801876388 | Cynthia Lynn | Nurse Anesthetist, Certified Registered | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2006-01-19 |
| 1447230115 | Patrick Clark | Nurse Anesthetist, Certified Registered | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2006-01-19 |
| 1265411391 | Geraldine Beverly Keller | Nurse Anesthetist, Certified Registered | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2006-01-17 |
| 1659350759 | Susan Grant | Nurse Anesthetist, Certified Registered | 1 William Carls Dr, Commerce Twp, MI 48382-2201 | 2006-01-17 |
| Find all providers in COMMERCE TWP | ||||
| City | COMMERCE TWP |
| Zip Code | 48382 |
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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.