Individual provider Active NPI

Shannon Beville, CRNA

  • Certified Registered Nurse Anesthetist
  • Tulsa, OK
National Provider Identifier
1053710780
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
221757 Issued in OK
Practice address
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone
(918) 494-0612
NPI assigned
Aug 19, 2014
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA233014 ME
Certified Registered Nurse Anesthetist 367500000X 272169 AZ
Certified Registered Nurse Anesthetist 367500000X 102316 TX
Certified Registered Nurse Anesthetist 367500000X 221757 OK Primary

Addresses

Primary practice location

6161 S Yale Ave
Tulsa, OK 74136-1902

Mailing address

6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612

Other practice location 1

5323 harry hines blvd
Dallas, TX 75390
Phone (214) 645-0624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141030000672 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032330303 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

6800 Scenic Dr
Suite 1071
Rowlett, TX 75088-4552
Phone (972) 535-2946

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
102316TXMDOccupational Therapist
272169AZMDCertified Registered Nurse Anesthetist
RNA233014MEMDCertified Registered Nurse Anesthetist
221757OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
Healthtexas Provider Network CurrentSince Dec 30, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2014 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Sep 1, 2021 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 11, 2014 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Wichita Falls Anesthesia PLLC CurrentSince Jun 1, 2023 Accepting new patients
Integral Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2025 Accepting new patients
Associated Anesthesiologists, Inc. CurrentSince Mar 19, 2025 Accepting new patients
Metropolitan Anesthesia Consultants, LLP CurrentSince Feb 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Healthtexas Provider Network CurrentSince Dec 30, 2025 Accepting new patients

Locations (25 of 27)

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6839 S Canton Ave
Tulsa, OK 74136
Phone (918) 494-0612

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

9500 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 739-9544

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

3500 Preston Rd
Ste 200
Plano, TX 75093
Phone (972) 985-2300

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: sbeville74202@unitedregional.medalliesdirect.net

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.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1053710780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6839 S CANTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363402",
            "telephone_number": "918-494-0612",
            "fax_number": "918-481-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361902",
            "telephone_number": "918-494-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 harry hines blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75390",
            "country_code": "US",
            "telephone_number": "214-645-0624",
            "fax_number": "214-645-0078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVILLE",
        "first_name": "SHANNON",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA233014",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "272169",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "102316",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "221757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.

Verify at the official NPI Registry.