Active NPI
Jamie Sue Shahan, CRNA
- Certified Registered Nurse Anesthetist
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CO1443 CRNA
- Practice address
- 5201 N Shore Dr
North Little Rock, AR 72118-5312 - Phone
- (501) 748-8000
- Fax
- (501) 748-8159
- NPI assigned
- Oct 18, 2006
- 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 | CO1443 CRNA | AR | Primary |
Addresses
Primary practice location
5201 N Shore Dr
North Little Rock, AR 72118-5312
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone (501) 686-6114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152965701 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Arkansas for Medical Sciences
Practice addresses (Care Compare)
4301 W Markam St
Little Rock, AR 72205-7101
Hospital & facility affiliations
- University of Arkansas Medical Sciences
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO1443 CRNA | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BP Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southern Regional Anesthesiology Consultants PLLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| NLR Gi Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Vincent Medical Group | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Childrens Hospital | Past | Accepting new patients | |
| Conway Anesthesiology Consultants, P.a. | Past | Accepting new patients | |
| Endoscopy Center of Arkansas Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
3320 Central Ave
Hot Springs, AR 71913
Phone (501) 321-0560
300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000
1811 Rahling Rd
Ste 120
Little Rock, AR 72223
Phone (501) 214-2360
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
4301 W Markham St
#515
Little Rock, AR 72205
Phone (501) 603-1656
7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671
16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888
9601 Interstate 630
Little Rock, AR 72205
Phone (501) 202-2300
500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101
100 N Fillmore St
Little Rock, AR 72205
Phone (870) 226-5875
2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680
4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300
3401 Springhill Dr
Ste 155
North Little Rock, AR 72117
Phone (501) 202-3631
2209 Wildwood Ave
Sherwood, AR 72120
Phone (501) 834-5777
Organizations & group practices 12
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
- Little Rock, AR
- NPI 1942736285
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- North Little Rock, AR
- NPI 1518536234
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Little Rock, AR
- NPI 1902231673
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134176480
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
AR, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Mountain Home, AR
- NPI 1114178753
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Children's Hospital
- Little Rock, AR
- NPI 1194776757
-
- Anesthesiology Physician
- Conway, AR
- NPI 1568423820
-
- Certified Registered Nurse Anesthetist
- Little Rock, AR
- NPI 1497267702
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
- Little Rock, AR
- NPI 1477549756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1467533091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 N SHORE DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721185312",
"telephone_number": "501-748-8000",
"fax_number": "501-748-8159"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St # 515",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-6114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAHAN",
"first_name": "JAMIE",
"middle_name": "SUE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "CO1443 CRNA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152965701",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.