Shannon Weiss Smith

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4000524 Issued in KY

Practice address

555 S Telshor Blvd Ste 100B
Las Cruces, NM 88011-3644

Phone

(575) 541-4206

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Kentucky Anesthesia P.S.C.Group PAC ID 4880508712, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Central Kentucky Anesthesia PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1518083161

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Central Kentucky Anesthesia P.S.C.

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
  • NPI 1851474159

  Single Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  dba Baptist Health Lexington

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1538244918
  Care Compare affiliation

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1487222733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S TELSHOR BLVD STE 100B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880113644",
            "telephone_number": "575-541-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S TELSHOR BLVD STE 100B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880113644",
            "telephone_number": "575-541-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANNON",
        "middle_name": "WEISS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "SC",
            "license": "235237",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4000524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Smith, BSW
• Preston Smith
• Richard Smith
• Rosa Smith
• Samuel Glenn Smith, AU.D.
• Syncere Smith
• Ravelle A Smoor-Kolloffel, PT
• Angelica Smythe, CASE MANAGER
• Brandon Smythe
• Demi Snell, BS

• Certified Registered Nurse Anesthetist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.