Shane Harris, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

050853 Issued in LA

Practice address

8212 Kelwood Ave
Baton Rouge, LA 70806-4801

Phone

(225) 929-7600

Fax

(225) 930-7524

NPI assigned

Oct 4, 2006

Last updated

May 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Louisiana Anesthesiology Group, L.L.C.

  • Anesthesiology Physician
  • Baton Rouge, LA
  • NPI 1902957103
  NPD (past)
• Professional Radiology Services

  • Diagnostic Radiology Physician
  • Baton Rouge, LA
  • NPI 1669571709
  NPD (past)
• St. Tammany Pathology

  • Clinical Pathology/Laboratory Medicine Physician
  • Baton Rouge, LA
  • NPI 1801983226
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1174618821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 S. SHERWOOD FOREST BLVD.",
            "address_2": "SUITE 121",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164312",
            "telephone_number": "225-293-3587",
            "fax_number": "225-293-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 KELWOOD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064801",
            "telephone_number": "225-929-7600",
            "fax_number": "225-930-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "050853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1993921",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myshekia Harris
• Nicholas Booth Harris, M.D.
• Pamela Smith Harris, RN
• Renee S Harris, M.D.
• Ross Harris
• Sherica Harris
• Tercel Devante Harris, PLPC
• Terrell Harris
• Tinica Harris
• Wesley Aaron Harris

• Certified Registered Nurse Anesthetist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.