Active NPI
Shannon L Garrison, CRNA
- Certified Registered Nurse Anesthetist
- Warrenton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024169896
- Practice address
- 500 Hospital Dr
Warrenton, VA 20186-3027 - Phone
- (540) 316-5730
- Fax
- (540) 316-5701
- NPI assigned
- Dec 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024169896 | VA | Primary |
Addresses
Primary practice location
500 Hospital Dr
Warrenton, VA 20186-3027
Mailing address
69 S Service Rd
Suite 350
Melville, NY 11747-2358
Phone (516) 945-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366450173 | Medicaid | VA | |
| 312299 | Other | VA | KAISER |
| 1326317660 | Medicaid | VA |
Other names 1
- Shannon L Hedrick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120426000425 | DC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0749442325 | |
| I20120514000321 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0749442325 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5000
Hospital & facility affiliations
- Fauquier Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024169896 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mary Washington Healthcare Specialty Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Current | Accepting new patients |
Locations
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
1201 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-4614
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340
500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000
Organizations & group practices 4
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
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, VA
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1821033010
Nurse Anesthetist, Certified Registered, VA
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426809600000",
"number": "1326317660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 S SERVICE RD",
"address_2": "SUITE 350",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472358",
"telephone_number": "516-945-3000",
"fax_number": "516-945-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HOSPITAL DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863027",
"telephone_number": "540-316-5730",
"fax_number": "540-316-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "SHANNON",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-15",
"last_updated": "2015-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024169896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366450173",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "312299",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326317660",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "HEDRICK",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.