Active NPI
Claudine A. Shank, CRNA
- Certified Registered Nurse Anesthetist
- Colorado Springs, CO
National Provider Identifier
1174517494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN.0004377-CRNA
- Practice address
- 3631 Tuscanna GRV
Colorado Springs, CO 80920-2820 - Phone
- (719) 219-9573
- Fax
- (719) 219-9573
- NPI assigned
- Aug 31, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 114275 | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | APN.0004377-CRNA | CO | Primary |
Addresses
Primary practice location
3631 Tuscanna GRV
Colorado Springs, CO 80920-2820
Mailing address
3631 Tuscanna GRV
Colorado Springs, CO 80920-2820
Phone (719) 219-9573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200508120 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114275 | CO | MD | Registered Nurse |
| APN.0004377-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diehl Anesthesia Inc | Current | Accepting new patients | |
| Colorado Personnel Resources Inc | Past | Accepting new patients | |
| University of Washington | Past | Accepting new patients | |
| Complete Care Office Anesthesia LLC | Past | Accepting new patients |
Locations
9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Sedalia, CO
- NPI 1467833897
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1972555928
-
- Pediatric Anesthesiology Physician
- Colorado Springs, CO
- NPI 1124687926
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1669639712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1174517494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3631 TUSCANNA GRV",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809202820",
"telephone_number": "719-219-9573",
"fax_number": "719-219-9573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3631 TUSCANNA GRV",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809202820",
"telephone_number": "719-219-9573",
"fax_number": "719-219-9573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANK",
"first_name": "CLAUDINE",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "114275",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "APN.0004377-CRNA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200508120",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.