Active NPI
Shalene P Blake-Dennis, CRNA
- Certified Registered Nurse Anesthetist
- Loxahatchee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9203976
- Practice address
- 13001 Southern Blvd
Loxahatchee, FL 33470-9203 - Phone
- (561) 798-1733
- NPI assigned
- Jan 26, 2016
- Last updated
- May 12, 2017
- 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 | ARNP9203976 | FL | Primary |
| Registered Nurse | 163W00000X | 9203976 | FL |
Addresses
Primary practice location
13001 Southern Blvd
Loxahatchee, FL 33470-9203
Mailing address
7700 W Sunrise Blvd
PL-14-Mail
Plantation, FL 33322-4113
Phone (954) 838-2371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9203976 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galloway Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Florida Anesthesia & Pain Treatment, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Galloway Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesco North Broward LLC | Current | Accepting new patients | |
| PBG Team Anesthesia PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Current | Accepting new patients |
Locations
3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868
7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939
3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309
3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834
515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
Organizations & group practices 7
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
- Fort Lauderdale, FL
- NPI 1699763862
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Palm Beach Gardens, FL
- NPI 1861623316
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Coral Gables, FL
- NPI 1528302866
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Palm Beach Gardens, FL
- NPI 1316626450
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Margate, FL
- NPI 1891469284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1063879617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 W SUNRISE BLVD",
"address_2": "PL-14-MAIL",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333224113",
"telephone_number": "954-838-2371",
"fax_number": "954-851-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 SOUTHERN BLVD",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334709203",
"telephone_number": "561-798-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE-DENNIS",
"first_name": "SHALENE",
"middle_name": "P",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9203976",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9203976",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.