NPIMap

Organization Active NPI

Shaun Lea Certified Registered Nursing Anesthetist, Inc.

  • Certified Registered Nurse Anesthetist
  • Atascadero, CA
National Provider Identifier
1235590977
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4361 Issued in CA
Legal business name
SHAUN LEA CERTIFIED REGISTERED NURSING ANESTHETIST, INC.
Practice address
11180 Avion Rd
Atascadero, CA 93422-6155
Phone
(702) 275-5181
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Shaun Lea, CRNA
Title
President/Ceo
Phone
(702) 275-5181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 4361 CA Primary

Addresses

Primary practice location

11180 Avion Rd
Atascadero, CA 93422-6155

Mailing address

11180 Avion Rd
Atascadero, CA 93422-6155
Phone (702) 275-5181

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1235590977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 AVION RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934226155",
            "telephone_number": "702-275-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 AVION RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934226155",
            "telephone_number": "702-275-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN LEA CERTIFIED REGISTERED NURSING ANESTHETIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "LEA",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "702-275-5181",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "4361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.