Active NPI
Sheila Reash, CRNA
- Certified Registered Nurse Anesthetist
- Polson, MT
National Provider Identifier
1093755183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NUR-APRN-LIC-195508
- Practice address
- 6 13TH Ave E
Polson, MT 59860-5315 - Phone
- (406) 883-5680
- Fax
- (406) 883-8910
- NPI assigned
- Jun 7, 2006
- 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 | R1432729 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | NUR-APRN-LIC-195508 | MT | Primary |
Addresses
Primary practice location
6 13TH Ave E
Polson, MT 59860-5315
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (866) 747-2455
Other practice location 1
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 464-4611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074415 | Other | MN | AANA CERTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1140 | MN | MD | Clinical Social Worker |
| R1432729 | MN | MD | Certified Registered Nurse Anesthetist |
| NUR-APRN-LIC-195508 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Credena Health LLC | Current | Accepting new patients | |
| Providence St Joseph Medical Center | Current | Accepting new patients | |
| Providence St Joseph Medical Center | Current | Accepting new patients |
Locations
6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Polson, MT
- NPI 1669655528
-
- Critical Access Hospital
- Polson, MT
- NPI 1821184888
-
- Community/Retail Pharmacy
- Polson, MT
- NPI 1164809778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1093755183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190012",
"telephone_number": "866-747-2455",
"fax_number": "406-329-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 13TH AVE E",
"city": "POLSON",
"state": "MT",
"postal_code": "598605315",
"telephone_number": "406-883-5680",
"fax_number": "406-883-8910"
}
],
"practiceLocations": [
{
"address_1": "5200 Fairview Blvd",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MN",
"postal_code": "550928013",
"country_code": "US",
"telephone_number": "651-464-4611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REASH",
"first_name": "SHEILA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1432729",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "NUR-APRN-LIC-195508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA CERTIFICATION NUMBER",
"identifier": "074415",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Polson, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.