Active NPI
Shana Korinne Smith, CRNA
- Certified Registered Nurse Anesthetist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 88336
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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)
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
| License | State | Type | Specialty |
|---|---|---|---|
| 198590 | NC | MD | Registered Nurse |
| 88336 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nash Hospitals Inc | Current | Accepting new patients | |
| Nash Hospitals Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Surgery Center Anesthesia Providers PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Raleigh Sedation Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Raleigh, NC
- NPI 1639698533
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rocky Mount, NC
- NPI 1003881822
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Williamsburg, VA
- NPI 1073807376
NC, Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
- NPI 1942248547
Nurse Anesthetist, Certified Registered
-
- Land Ambulance
- Rocky Mount, NC
- NPI 1275374290
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.