Active NPI
Shayla Willmott, CRNA
- Certified Registered Nurse Anesthetist
- Athens, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 771205
- Practice address
- 510 E Clinton Ave
Athens, TX 75751-3410 - Phone
- (903) 677-1000
- Fax
- (903) 677-1694
- NPI assigned
- Jan 9, 2014
- 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 | 771205 | TX | Primary |
Addresses
Primary practice location
510 E Clinton Ave
Athens, TX 75751-3410
Mailing address
510 E Clinton Ave
Athens, TX 75751-3410
Phone (903) 677-1000
Other names 1
- Shayla Hudson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 S Loop
256 Palestine Regional Med Ctr
Palestine, TX 75801-6958
Phone (903) 731-1147
7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000
Hospital & facility affiliations
- Palestine Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 771205 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anderson County Anesthesia Associates, PA | Past | Accepting new patients | |
| Apex Anesthesia Consultants, PLLC | Past | Accepting new patients |
Locations
2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Palestine, TX
- NPI 1699763557
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1124201827
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palestine, TX
- NPI 1164510673
-
- Rehabilitation Hospital
- Palestine, TX
- NPI 1326113762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1508288689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E CLINTON AVE",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513410",
"telephone_number": "903-677-1000",
"fax_number": "903-677-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E CLINTON AVE",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513410",
"telephone_number": "903-677-1000",
"fax_number": "903-677-1694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMOTT",
"first_name": "SHAYLA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "771205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAYLA",
"last_name": "HUDSON",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.