Active NPI
Antonni Lashae Shingles
- Certified Registered Nurse Anesthetist
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 14807
- Practice address
- 1360 Beaver Trail Dr
Cordova, TN 38016-9601 - Phone
- (901) 754-2927
- NPI assigned
- Nov 16, 2009
- Last updated
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 149251 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 14807 | TN | Primary |
Addresses
Primary practice location
1360 Beaver Trail Dr
Cordova, TN 38016-9601
Mailing address
1360 Beaver Trail Dr
Cordova, TN 38016-9601
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4252851 | Other | TN | BLUE CROSS OF TN |
| 1003143843 | Other | CHAMPUS/TRICARE | |
| 187026001 | Other | AR | ARKANSAS MEDICAID |
| 1519463 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Tennessee, HSC, College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000
4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.75 of 100
- Quality
- 83.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 149251 | TN | MD | Registered Nurse |
| 14807 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of TN PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Anesthesia Group, PA | Current | Accepting new patients |
Locations
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
7580 Clarington Cv
Southaven, MS 38671
Phone (901) 259-1600
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200
6060 E Primacy Pkwy
Ste 241
Memphis, TN 38119
Phone (901) 725-5846
7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1316724073
MS, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1003143843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 BEAVER TRAIL DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380169601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 BEAVER TRAIL DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380169601",
"telephone_number": "901-754-2927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINGLES",
"first_name": "ANTONNI",
"middle_name": "LASHAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-16",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN 149251",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "14807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TN",
"identifier": "4252851",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "1003143843",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS MEDICAID",
"identifier": "187026001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1519463",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.