Active NPI
Theresa Gayle Sheahan, CRNA
- Certified Registered Nurse Anesthetist
- Pace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209015976
- Practice address
- 4069 Berry Cir
Pace, FL 32571-6361 - Phone
- (850) 723-4372
- NPI assigned
- Aug 15, 2005
- Last updated
- Aug 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9174463 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209015976 | IL | Primary |
Addresses
Primary practice location
4069 Berry Cir
Pace, FL 32571-6361
Mailing address
4069 Berry Cir
Pace, FL 32571-6361
Phone (850) 723-4372
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430077530 | Other | FL | RAILROAD MEDICARE |
| 009900445 | Medicaid | AL | |
| 304864100 | Medicaid | FL | |
| 59174082 | Other | AL | BLUE CROSS & BLUE SHIELD |
| G2809 | Other | FL | BLUE CROSS & BLUE SHIELD |
Other names 1
- Theresa G Sheahan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA, AL
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Albany Medical College of Union University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000
6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9174463 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physynergy, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physynergy, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Services of San Joaquin, P.C. | Current | Accepting new patients | |
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| USA Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physynergy, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Providence Hospital | Current | Accepting new patients | |
| Providence Hospital | Current | Accepting new patients | |
| Houston Cypress Anesthesia LLP | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sarasota Anesthesiologists, PA | Past | Accepting new patients |
Locations
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
4600 N Davis Hwy
Pensacola, FL 32503
Phone (850) 202-1118
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 15
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
- Mobile, AL
- NPI 1629635818
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- French Camp, CA
- NPI 1366778227
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1134465560
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1952390643
-
- Anesthesiology Physician
- Inverness, FL
- NPI 1063797264
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1093173502
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1780060079
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba USA Health Providence Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1013919547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4069 BERRY CIR",
"city": "PACE",
"state": "FL",
"postal_code": "325716361",
"telephone_number": "850-723-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4069 BERRY CIR",
"city": "PACE",
"state": "FL",
"postal_code": "325716361",
"telephone_number": "850-723-4372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAHAN",
"first_name": "THERESA",
"middle_name": "GAYLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9174463",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209015976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430077530",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009900445",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304864100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "59174082",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "G2809",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "SHEAHAN",
"middle_name": "G",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.