SHAYNE HAUGLUM (NPI# 1821087685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821087685 |
| Entity Type | Individual |
| Full Name | SHAYNE HAUGLUM |
| Credential | CRNA |
| Practice Address |
3073 White Mountain Hwy North Conway NH 03860-5111 |
| Mailing Address |
Po Box 2161 North Conway NH 03860-2161 |
| Practice Telephone | 6033565461 |
| Practice Fax Number | 6033567651 |
| Mailing Telephone | 6033565461 |
| Mailing Fax Number | 6033567651 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30342370 | 05 | |
| NH | ANTHEM WHITE MTN ANESTH. | 50Y152300MA01 | 01 |
| NH | ACS WHITE MTN ANESTHESIA | NI1207 | 01 |
| NH | ANTHEM INDIVIDUAL | 40Y003831NH01 | 01 |
| NH | HARVARD INDIVIDUAL | 276054 | 01 |
| NH | ACS INDIVIDUAL | NI1211 | 01 |
| NH | TUFTS INDIVIDUAL | 693984 | 01 |
| Street Address |
3073 WHITE MOUNTAIN HWY |
| City | NORTH CONWAY |
| State | NH |
| Zip Code | 03860-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647120 | Linda J Barton | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2020-04-02 |
| 1649826413 | Cynthia Hellstein Walsh | Occupational Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-08-16 |
| 1134781602 | Nicole M Veilleux | Advanced Practice Midwife | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-07-03 |
| 1952962979 | Michelle Renee Mattei | Physical Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-06-21 |
| 1689234700 | Adam Scheletsky | Physician Assistant | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-06-20 |
| 1053970202 | Marla A Browning | Speech-Language Pathologist | 3073 White Mountain Hwy, North Conway, NH 03860 | 2019-06-11 |
| 1124683594 | Melanie Glavin | Physical Therapist | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2019-05-01 |
| 1215497631 | Kathryn Villarevia | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860 | 2019-03-21 |
| 1003384488 | Austin Creer | Physician Assistant | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2018-11-05 |
| 1235638057 | Jodi Tracy | Nurse Practitioner | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2018-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083539 | Anna Ballard Haley | Pharmacist | 32 Mountain Valley Blvd, North Conway, NH 03860 | 2020-11-06 |
| 1013564814 | Jaclyn Maine Macdonald | Physical Therapist | 3037 White Mountain Hwy, North Conway, NH 03860 | 2019-08-26 |
| 1770143323 | Amy Russo | Occupational Therapist | 3073 White Mountian Highway, North Conway, NH 03860 | 2019-06-17 |
| 1992207203 | Truecare Physical Therapy LLC | Physical Therapist | 3304 White Mountain Highway, North Conway, NH 03860 | 2018-03-02 |
| 1740708882 | Cm Resort, LLC | Specialist | 239 Skimobile Road, North Conway, NH 03860 | 2017-09-08 |
| 1639553886 | Jonathan Eldridge | Chiropractor | 3294 White Mountain Highway, North Conway, NH 03860 | 2015-07-17 |
| 1043636004 | Karen Merritt | Community Health Worker | 1529 Mount Washington Hwy, North Conway, NH 03860 | 2014-03-13 |
| 1982027710 | Karen Louise Howe | Occupational Therapy Assistant | 1251 White Mountain Way, Mineral Springs Rehab Center, North Conway, NH 03860 | 2014-01-30 |
| 1518202787 | Maryellen Mccarthy | Occupational Therapy Assistant | 1251 White Mtn Hwy, North Conway, NH 03860 | 2012-11-29 |
| 1255605770 | Christine Wilson | Behavioral Analyst | 16 Norcross Circle, North Conway, NH 03860 | 2012-03-01 |
| Find all providers in zip 03860 | ||||
| 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 |
|---|---|---|---|---|
| 1538157292 | David Kent Esmay | Nurse Anesthetist, Certified Registered | 3073 White Mtn Hwy, The Memorial Hosp/anesthesia Dept, North Conway, NH 03860-5111 | 2005-10-07 |
| 1811317522 | Ashley Cyr | Nurse Anesthetist, Certified Registered | 3073 White Mountain Hwy, North Conway, NH 03860-7101 | 2014-04-21 |
| 1043373954 | White Mountain Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 3073 White Mountain Hwy, Anesthesiology Department, North Conway, NH 03860-5111 | 2006-12-19 |
| 1932152725 | Sean M. O'brien | Nurse Anesthetist, Certified Registered | 3073 White Mtn Hwy, Anesthesia Department, North Conway, NH 03860-5001 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437640679 | Kyle Moore Thorne | Nurse Anesthetist, Certified Registered | 1 Pillsbury St Ste 202, Concord, NH 03301 | 2018-05-23 |
| 1467965970 | Krysten Marie Todd | Nurse Anesthetist, Certified Registered | 33 Wild Pasture Rd, Kensington, NH 03833-6712 | 2017-11-07 |
| 1104336445 | Blue Sky Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 109 Chestnut Hill Rd, Farmington, NH 03835-3914 | 2017-09-30 |
| 1568991396 | Alexa Schimmel Hayes | Nurse Anesthetist, Certified Registered | 789 Central Ave Fl 2, Dover, NH 03820-2526 | 2017-06-06 |
| 1326383100 | Kyle C Anderson | Nurse Anesthetist, Certified Registered | 22 Bridge St Ste 9, Concord, NH 03301-4987 | 2012-12-04 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1427323377 | Nathaniel C. Fuster | Nurse Anesthetist, Certified Registered | 34 Robertson Dr, Gilford, NH 03249-6624 | 2012-03-11 |
| 1184900987 | Granite State Anesthesiologists, Pa | Nurse Anesthetist, Certified Registered | 168 Kinsley St Ste 4, Nashua, NH 03060-3634 | 2011-10-25 |
| 1992037899 | Marc Bozenski | Nurse Anesthetist, Certified Registered | 5 Alumni Dr., Anesthesia Dept, Exeter, NH 03833-2128 | 2010-02-03 |
| 1427291418 | Brian Carter Elliott | Nurse Anesthetist, Certified Registered | 6 Elmview Circle, Dover, NH 03820 | 2009-04-07 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CONWAY |
| Zip Code | 03860 |
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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.