Shannon Logel Canterbury

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

343253 Issued in NC

Practice address

150 Stoneybrook LN
Banner Elk, NC 28604-9417

Phone

(828) 260-5937

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Watauga Medical Center Hospital, Boone, NC, CCN 340051

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Watauga Medical Center, Inc.

  dba Watauga Medical Center

  • Hospitalist Physician
  • Boone, NC
  • NPI 1528134194
  Medicare reassignment Care Compare group NPD
• Charles a. Cannon, Jr. Memorial Hospital, Inc

  • Certified Registered Nurse Anesthetist
  • Linville, NC
  • NPI 1346302783
  Medicare reassignment NPD
• Charles a Cannon Jr Memorial Hospital Inc

  dba Cannon Inpatient Behavioral Health

  • Psychiatric Hospital Unit
  • Linville, NC
  • NPI 1407006968
  NPD
• Charles a. Cannon, Jr. Memorial Hospital, Inc.

  • Cardiovascular Disease Physician
  • Linville, NC
  • NPI 1477006385
  NPD
• Charles a. Cannon, Jr. Memorial Hospital, Inc.

  dba Cannon Inpatient Physician Group

  • Hospitalist Physician
  • Linville, NC
  • NPI 1821403957
  NPD
• Watauga Medical Center Inc

  dba UNC Health Appalachian

  • Land Ambulance
  • Boone, NC
  • NPI 1255120184
  NPD
• Watauga Medical Center Inc

  dba Watauga Medical Center CRNA

  • Certified Registered Nurse Anesthetist
  • Boone, NC
  • NPI 1548335581
  NPD

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

• Watauga Medical Center Inc

  dba Watauga Medical Center

  • General Acute Care Hospital
  • Boone, NC
  • NPI 1205859766
  Care Compare affiliation

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1063118115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 STONEYBROOK LN",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286049417",
            "telephone_number": "828-260-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 STONEYBROOK LN",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286049417",
            "telephone_number": "828-260-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTERBURY",
        "first_name": "SHANNON",
        "middle_name": "LOGEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "343253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bia Concepts,Inc. (Back in Action Chiropractic)
• Dennis Robert Blair, RRT, RCP
• Blue Ridge Family Health Care Plus
• Blue Ridge Medical Management Corporation (Ballad Health Medical Associates)
• Brandon Blake DDS PA
• Lucas Carson, MS, LAT, ATC, CPT
• Charles a Cannon Jr Memorial Hospital, Inc. (Elk River Center for Primary Care)
• Christine Halterman PLLC
• Christine Halterman PLLC
• Consolidated Resources Health Care Fund I, L.P. (Life Care Center of Banner Elk)

• Registered Nurse in Banner Elk, NC
• Providers in Banner Elk, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.