Active NPI
Shannon Micheal Blanton
- Certified Registered Nurse Anesthetist
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 181099
- Practice address
- 1200 N Elm St
Greensboro, NC 27401-1004 - Phone
- (336) 832-7784
- Fax
- (336) 832-7782
- NPI assigned
- Sep 24, 2009
- Last updated
- Aug 29, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1051295 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 181099 | NC | Primary |
Addresses
Primary practice location
1200 N Elm St
Greensboro, NC 27401-1004
Mailing address
1200 N Elm St
Greensboro, NC 27401-1004
Other practice location 1
3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone (915) 832-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2930 N Stanton St
El Paso, TX 79902-2511
Phone (915) 271-4569
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2107 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| BHS Physicians Network, Inc | Current | Accepting new patients |
Locations
364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965
1755 Curie Dr
Ste A
El Paso, TX 79902
Phone (915) 534-1329
2930 N Stanton St
El Paso, TX 79902
Phone (915) 271-4569
3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
NC, Nurse Anesthetist, Certified Registered
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Hospitals of Providence East Campus
- General Acute Care Hospital
- El Paso, TX
- NPI 1972709970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1598099483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N ELM ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N ELM ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011004",
"telephone_number": "336-832-7784",
"fax_number": "336-832-7782"
}
],
"practiceLocations": [
{
"address_1": "3280 Joe Battle Blvd",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799382622",
"country_code": "US",
"telephone_number": "915-832-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANTON",
"first_name": "SHANNON",
"middle_name": "MICHEAL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-24",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1051295",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "181099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.