Alice C Shrewsberry

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

045363 Issued in WV

Practice address

454 McDowell St
Welch, WV 24801-2029

Phone

(304) 436-8461

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Kelly Medical Services Corporation LLC

  dba Kelly Medical Corporation

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1033154810
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639194160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "MULLENS",
            "state": "WV",
            "postal_code": "258820103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012029",
            "telephone_number": "304-436-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREWSBERRY",
        "first_name": "ALICE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "045363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Mitchell Setzer
• Hedy Carolyn Sexton
• Chandra Prakash Sharma, M.D.
• Kascendra Nicole Shelton
• Amanda S Shrader
• William Shrewsberry, CRNA
• Julieta B. Sison, PA
• Hannah Rae Smallwood
• Briana Janay Smith
• Joann Smith

• Certified Registered Nurse Anesthetist in Welch, WV
• Providers in Welch, WV by specialty
• Certified Registered Nurse Anesthetist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.