Individual provider Active NPI

Shana W Geary, CRNA

  • Certified Registered Nurse Anesthetist
  • Salem, KY
National Provider Identifier
1649352899
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3005005 Issued in KY
Practice address
131 Hospital Dr
Salem, KY 42078-8043
Phone
(270) 988-2299
NPI assigned
Oct 19, 2006
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3005005 KY Primary

Addresses

Primary practice location

131 Hospital Dr
Salem, KY 42078-8043

Mailing address

1450 State Route 654 N
Marion, KY 42064-5469
Phone (270) 965-2131

Other identifiers 2

IdentifierTypeStateIssuer
3005005OtherKYLICENSE
000000497580OtherKYANTHEM BCBS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070502000334 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385740638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1020 N Main St
Beaver Dam, KY 42320-1553

326 S Mount Auburn Rd
Cape Girardeau, MO 63703-4907

PO Box
Suite 440524
Nashville, TN 37244-0524

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3005005KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Caldwell County Hospital, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Caldwell County Hospital, Inc Current Accepting new patients
Caldwell County Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Marshall County Anesthesia Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300

320 Micbeth Dr
Princeton, KY 42445
Phone (270) 365-0320

131 Hospital Dr
Salem, KY 42078
Phone (270) 988-2299

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIDFCD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1649352899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 STATE ROUTE 654 N",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420645469",
            "telephone_number": "270-965-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HOSPITAL DR",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420788043",
            "telephone_number": "270-988-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "SHANA",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3005005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3005005",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PIN",
            "identifier": "000000497580",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.

Verify at the official NPI Registry.