Active NPI
Shanda Speed, CRNA
- Certified Registered Nurse Anesthetist
- Lewistown, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NUR-APRN-LIC-101159
- Practice address
- 408 Wendell Ave
Lewistown, MT 59457-2261 - Phone
- (406) 535-7711
- NPI assigned
- Jun 28, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 083573 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | NUR-APRN-LIC-101159 | MT | Primary |
Addresses
Primary practice location
408 Wendell Ave
Lewistown, MT 59457-2261
Mailing address
408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140728000429 | MT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9931224284 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Montana Medical Facilities Inc
Practice addresses (Care Compare)
408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-7711
Hospital & facility affiliations
- Central Montana Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-101159 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Montana Medical Facilities, Inc | Current | Accepting new patients | |
| Central Montana Medical Facilities, Inc. | Current | Accepting new patients | |
| CMSC, LLC | Current | Accepting new patients | |
| Central Montana Medical Facilities, Inc. | Current | Accepting new patients | |
| Central Montana Medical Facilities, Inc. | Current | Accepting new patients | |
| Central Montana Medical Facilities, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Laboratory Corportation of America Holdings | Past | Accepting new patients |
Locations
3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095
1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500
408 Wendell Ave
Lewistown, MT 59457
Phone (406) 535-1502
Organizations & group practices 11
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Lewistown, MT
- NPI 1518070937
-
- Community Based Hospice Care Agency
- Lewistown, MT
- NPI 1609989029
-
- Durable Medical Equipment & Medical Supplies
- Lewistown, MT
- NPI 1669585592
-
- Home Health Agency
- Lewistown, MT
- NPI 1790898112
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lewistown, MT
- NPI 1427161843
-
- Land Ambulance
- Lewistown, MT
- NPI 1770696601
-
- Certified Registered Nurse Anesthetist
- Lewistown, MT
- NPI 1336252758
Nurse Anesthetist, Certified Registered
-
- Clinical Medical Laboratory
- Clinton, IN
- NPI 1194140293
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lewistown, MT
- NPI 1790798387
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1619288487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 WENDELL AVE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594572261",
"telephone_number": "406-535-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 WENDELL AVE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594572261",
"telephone_number": "406-535-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEED",
"first_name": "SHANDA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "083573",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "NUR-APRN-LIC-101159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.