Andrea Lynn Shankar

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NA4286 Issued in CA

Practice address

170 E Walnut St Apt 412
Pasadena, CA 91103-3823

Phone

(618) 567-1287

NPI assigned

Jun 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Lynn Easlick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Axiom Anesthesia a Professional Nursing Corporation

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1760150155
  NPD

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1134483829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E WALNUT ST APT 412",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033823",
            "telephone_number": "618-567-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E WALNUT ST APT 412",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033823",
            "telephone_number": "618-567-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKAR",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA4286",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "777858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "EASLICK",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharjil Shamim, MD
• Ayda Shamsian
• Shana L Ballow DO Inc
• Donna Shanahan, LMFT
• Shankar Lakshman MD Medical Inc
• Elizabeth D Shapard, RN MSN PMHNP-BC
• George Herschel Shapiro, DC
• Kevin Alfred Shapiro, MD, PHD
• Samuel Mark Shapiro, M.D.
• Emily Sharaf

• Certified Registered Nurse Anesthetist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.