Active NPI
Shawn Harris
- Certified Registered Nurse Anesthetist
- Hanford, CA
National Provider Identifier
1043418874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4382
- Practice address
- 255 W Harold Griswold Way
Hanford, CA 93230-8309 - Phone
- (559) 381-5004
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4382 | CA | Primary |
Addresses
Primary practice location
255 W Harold Griswold Way
Hanford, CA 93230-8309
Mailing address
255 W Harold Griswold Way
Hanford, CA 93230-8309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4382 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easton Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
511 Idlewild Ave
Easton, MD 21601
Phone (410) 820-6486
1A Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-5579
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Easton, MD
- NPI 1316491236
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1043418874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W HAROLD GRISWOLD WAY",
"city": "HANFORD",
"state": "CA",
"postal_code": "932308309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W HAROLD GRISWOLD WAY",
"city": "HANFORD",
"state": "CA",
"postal_code": "932308309",
"telephone_number": "559-381-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "4382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.