Active NPI
Shelley Rae Daigh, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041-273477
- Practice address
- 800 E Carpenter St
Room 2K64
Springfield, IL 62769-0001 - Phone
- (217) 525-5643
- Fax
- (217) 544-2521
- NPI assigned
- Jul 2, 2008
- Last updated
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 041-273477 | IL | Primary |
Addresses
Primary practice location
800 E Carpenter St
Room 2K64
Springfield, IL 62769-0001
Mailing address
800 E Carpenter St
Room 2K64
Springfield, IL 62769-0001
Phone (217) 525-5643
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 794510 | Other | GROUP PTAN | |
| 041-273477 | Medicaid | IL |
Other names 1
- Shelly Rae Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Stahlhut Dr
Lincoln, IL 62656-5066
Phone (217) 732-2161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-273477 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylorville Memorial Hospital | Current | Accepting new patients | |
| Taylorville Memorial Hospital | Current | Accepting new patients | |
| Abraham Lincoln Memorial Hospital | Current | Accepting new patients | |
| Taylorville Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sangamon Associated Anesthesiologists, S.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
200 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 605-5611
201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/stvince-659560ec
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Lincoln, IL
- NPI 1154329753
-
- Critical Access Hospital
- Taylorville, IL
- NPI 1144292020
-
- Certified Registered Nurse Anesthetist
- Lincoln, IL
- NPI 1558586180
-
- Medicare Defined Swing Bed Hospital Unit
- Taylorville, IL
- NPI 1275506636
-
- Certified Registered Nurse Anesthetist
- Taylorville, IL
- NPI 1518170729
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1699712661
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lincoln, IL
- NPI 1154329753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1093978892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"address_2": "ROOM 2K64",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627690001",
"telephone_number": "217-525-5643",
"fax_number": "217-544-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"address_2": "ROOM 2K64",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627690001",
"telephone_number": "217-525-5643",
"fax_number": "217-544-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIGH",
"first_name": "SHELLEY",
"middle_name": "RAE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041-273477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "794510",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041-273477",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLY",
"last_name": "SMITH",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.