Active NPI
Shannon Lamb, CRNA
- Certified Registered Nurse Anesthetist
- Roxboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 166287
- Practice address
- 615 Ridge Rd
Roxboro, NC 27573-4629 - Phone
- (336) 503-5699
- NPI assigned
- May 12, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 166287 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 166287 | NC | Primary |
Addresses
Primary practice location
615 Ridge Rd
Roxboro, NC 27573-4629
Mailing address
615 Ridge Rd
Roxboro, NC 27573-4629
Phone (336) 503-5699
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052121 | Medicaid | NC | |
| 166287 | Other | NC | CRNA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Hospital & facility affiliations
- Duke Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166287 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Anesthesiology Associates, P.a. | Anesthesiology | Current | Accepting new patients |
| Regional Anesthesia, PLLC | Specialist | Current | Accepting new patients |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Durham Anesthesia Associates PA | Specialist | Past | Accepting new patients |
Locations
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
Organizations & group practices 4
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Specialist
- Durham, NC
- NPI 1952486946
-
- Specialist
- Durham, NC
- NPI 1730275744
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1689625923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 RIDGE RD",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734629",
"telephone_number": "336-503-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 RIDGE RD",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734629",
"telephone_number": "336-503-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "SHANNON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "166287",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "166287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052121",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA LICENSE NUMBER",
"identifier": "166287",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.