Active NPI
Shelby Waugh
- Certified Registered Nurse Anesthetist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11019684
- Practice address
- 2020 59TH St W
Bradenton, FL 34209-4604 - Phone
- (941) 792-6611
- NPI assigned
- Feb 1, 2022
- 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 | RN9385535 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 11019684 | FL | Primary |
Addresses
Primary practice location
2020 59TH St W
Bradenton, FL 34209-4604
Mailing address
2588 17TH Ave N
Saint Petersburg, FL 33713-4926
Phone (727) 475-0748
Other practice location 1
2588 17th Ave N
Saint Petersburg, FL 33713-4926
Phone (727) 475-0748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 59TH St W
HCA Florida Blake Hospital
Bradenton, FL 34209-4604
Phone (941) 792-6611
2275 N Central Ave
Kissimmee, FL 34741-2342
Phone (888) 851-4642
540 The Rialto
Venice, FL 34285-2900
Phone (941) 485-7711
Hospital & facility affiliations
- HCA Florida Blake Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9385535 | FL | MD | Registered Nurse |
| 11019684 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Capital Anesthesia Solutions of Florida II, LLC | Current | Accepting new patients | |
| Office Anesthesia Staffing | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705
2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021
540 The Rialto
Venice, FL 34285
Phone (866) 481-2553
Organizations & group practices 3
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
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Certified Registered Nurse Anesthetist
- Saint Petersburg, FL
- NPI 1972232023
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1235882002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2588 17TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337134926",
"telephone_number": "727-475-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 59TH ST W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094604",
"telephone_number": "941-792-6611"
}
],
"practiceLocations": [
{
"address_1": "2588 17th Ave N",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337134926",
"country_code": "US",
"telephone_number": "727-475-0748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAUGH",
"first_name": "SHELBY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-01",
"last_updated": "2022-06-07",
"certification_date": "2022-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9385535",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11019684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.