Active NPI
Shawn D Nelson, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 75343
- Practice address
- 400 N Holtzclaw Ave
Chattanooga, TN 37404-1916 - Phone
- (423) 698-6871
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- 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 | 75343 | TN | Primary |
Addresses
Primary practice location
400 N Holtzclaw Ave
Chattanooga, TN 37404-1916
Mailing address
425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8208 Carriage Xing
Chattanooga, TN 37421-3264
Phone (423) 667-6930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75343 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsurg Chattanooga Anesthesia LLC | Current | Accepting new patients | |
| Earley Daze Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Crna Associates, P.C. | Current | Accepting new patients | |
| Cleveland Anesthesiologists Inc | Past | Accepting new patients | |
| Anesthesia Care Enterprises, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Chattanooga Endoscopy ASC LLC | Past | Accepting new patients |
Locations
1111 Professional Blvd
Dalton, GA 30720
Phone (404) 226-2232
1501 Riverside Dr
Ste 117
Chattanooga, TN 37406
Phone (423) 648-0576
5751 Uptain Rd
Ste 100
Chattanooga, TN 37411
Phone (423) 855-8406
1801 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 855-6800
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.
-
- Specialist
- Chattanooga, TN
- NPI 1942233150
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1841586922
-
- Certified Registered Nurse Anesthetist
- Dalton, GA
- NPI 1821350471
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Chattanooga, TN
- NPI 1447223938
-
- Anesthesiology Physician
- Cleveland, TN
- NPI 1962483552
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1861450371
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1497768261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 LEWIS HARGETT CIR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033590",
"telephone_number": "859-268-1030",
"fax_number": "859-269-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N HOLTZCLAW AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041916",
"telephone_number": "423-698-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SHAWN",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "75343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.