Active NPI
Shannon Nicole Davidson, CRNA
- Certified Registered Nurse Anesthetist
- Topeka, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4416
- Practice address
- 1500 SW 10TH Ave
Topeka, KS 66604-1301 - Phone
- (785) 235-3451
- NPI assigned
- Oct 4, 2012
- 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 | 99055 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 4416 | CA | Primary |
Addresses
Primary practice location
1500 SW 10TH Ave
Topeka, KS 66604-1301
Mailing address
823 SW Mulvane St
Topeka, KS 66606-1764
Phone (785) 235-3451
Other names 1
- Shannon Bennett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1825 Sonoma St
Redding, CA 96001-2519
Phone (530) 246-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4416 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 99055 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Mayers Memorial Hospital District | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| Redding Anesthesia Associates LP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Last Frontier Healthcare District | Past | Accepting new patients | |
| Last Frontier Healthcare District | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Cep America - Anesthesia PC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
400 Forest Ave
Palo Alto, CA 94301
Phone (650) 289-1208
2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
2179 Court St
Redding, CA 96001
Phone (530) 246-7000
1825 Sonoma St
Redding, CA 96001
Phone (530) 243-8667
2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Redding, CA
- NPI 1386001139
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Critical Access Hospital
- Fall River Mills, CA
- NPI 1912125667
-
- Certified Registered Nurse Anesthetist
- Folsom, CA
- NPI 1043700941
-
- Certified Registered Nurse Anesthetist
- Redding, CA
- NPI 1114686631
-
- Anesthesiology Physician
- Redding, CA
- NPI 1013561851
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Fremont, CA
- NPI 1982009759
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- Critical Access Hospital
- Alturas, CA
- NPI 1487669032
-
- Rural Health Clinic/Center
- Alturas, CA
- NPI 1487764064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1174875827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 SW MULVANE ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061764",
"telephone_number": "785-235-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 10TH AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041301",
"telephone_number": "785-235-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "SHANNON",
"middle_name": "NICOLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "99055",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "4416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "BENNETT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.