Individual provider Active NPI

Shana Korinne Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
National Provider Identifier
1376837567
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
88336 Issued in NC
Practice address
23 Sunnybrook Rd Ste 100
Raleigh, NC 27610-1874
Phone
(919) 322-4800
NPI assigned
Jun 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 198590 NC
Certified Registered Nurse Anesthetist 367500000X 88336 NC Primary

Addresses

Primary practice location

23 Sunnybrook Rd Ste 100
Raleigh, NC 27610-1874

Mailing address

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616-2880
Phone (919) 873-9533

Other practice location 1

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 696-2014

Other names 1

  • Shana Korinne Dicarlo Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000422 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052585601 Reassigns benefits to 4 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
Raleigh Sedation Associates LLCGroup PAC ID 1254698624, 21 clinicians

Practice addresses (Care Compare)

2417 Atrium Dr
Suite 101
Raleigh, NC 27607-6673
Phone (919) 249-5216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198590NCMDRegistered Nurse
88336NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nash Hospitals Inc CurrentSince Jul 1, 2019 Accepting new patients
Nash Hospitals Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2011 Accepting new patients
Surgery Center Anesthesia Providers PC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Raleigh Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2011 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087

320 Lillington Ave
Ste 101
Charlotte, NC 28204
Phone (704) 332-1574

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

8300 Health Park
Ste 210
Raleigh, NC 27615
Phone (919) 249-5902

23 Sunnybrook Rd
Ste 100
Raleigh, NC 27610
Phone (919) 322-4800

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

1919 S 16th St
Wilmington, NC 28401
Phone (910) 763-9334

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1307232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376837567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD",
            "address_2": "STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-873-9533",
            "fax_number": "844-454-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SUNNYBROOK RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101874",
            "telephone_number": "919-322-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-696-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANA",
        "middle_name": "KORINNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "198590",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "88336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "DICARLO",
            "middle_name": "KORINNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.