Individual provider Active NPI

David Allen Shultz, CRNA

  • Certified Registered Nurse Anesthetist
  • Edinburg, TX
National Provider Identifier
1285677716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
027127 Issued in TX
Practice address
3115 Sunset Dr
Edinburg, TX 78539-9752
Phone
(956) 383-6806
NPI assigned
Jun 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 027127 TX Primary

Addresses

Primary practice location

3115 Sunset Dr
Edinburg, TX 78539-9752

Mailing address

3115 Sunset Dr
Edinburg, TX 78539-9752
Phone (956) 383-6806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025001188 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052372786 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
027127TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ccec Anesthesia Management LLC CurrentSince Oct 15, 2017 Accepting new patients
Total Medical Management Solutions, LLC CurrentSince Jul 5, 2019 Accepting new patients
Harlingen Anesthesia Associates Nurse Anesthetist, Certified Registered PastSince Feb 1, 2003 Accepting new patients
Harlingen Anesthesia Associates Past Accepting new patients
Babcock Anesthesia Providers PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Alliance Hospital, LTD Past Accepting new patients
Anesthesia Healthcare Partners of Laredo, P. a. Past Accepting new patients

Locations

6421 Saratoga Blvd
Bldg 105
Corpus Christi, TX 78414
Phone (361) 985-9300

7101 Williams Dr
Corpus Christi, TX 78412
Phone (361) 561-0144

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285677716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 SUNSET DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399752",
            "telephone_number": "956-383-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 SUNSET DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399752",
            "telephone_number": "956-383-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "027127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.