Ellen Shollmier, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C01507 Issued in AR

Practice address

8 Laval CT
Little Rock, AR 72223-8903

Phone

(501) 352-7417

NPI assigned

Sep 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• Anesthesia Services of Benton County PA

  • Anesthesiology Physician
  • Rogers, AR
  • NPI 1013084482
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1649378381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LAVAL CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722238903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAVAL CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722238903",
            "telephone_number": "501-352-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLLMIER",
        "first_name": "ELLEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159970001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Shivers, LMT
• Deepa Shivnani, MBBS, DNB, ENT, MD
• Shawn Shoham, DO
• Sierra Ashley Shoham, DO
• Keith Sholes
• Kaitlin Rachael Shonnard, PA-C
• Allyson Shoptaw
• Kristen Nicole Shores, RDN
• Jeannette Shorey, II, MD
• Angela Shorter, QBHP

• Certified Registered Nurse Anesthetist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

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