Manardie Francis Shimata, DNAP, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

277586-4406 Issued in UT

Practice address

3773 Cherry Hills Cir
Syracuse, UT 84075-8402

Phone

(801) 786-9233

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

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

Locations

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.

• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  NPD
• Utah Gastroenterology LLC

  • Gastroenterology Physician
  • Salt Lake City, UT
  • NPI 1871689562
  NPD
• Rocky Mountain Anesthesiology, PC

  • Anesthesiology Physician
  • Ogden, UT
  • NPI 1487683215
  NPD (past)
• Colorado Personnel Resources Inc

  • Anesthesiology Physician
  • Aurora, CO
  • NPI 1972555928
  NPD (past)
• Yakima Hma Physician Management LLC

  • Family Medicine Physician
  • Yakima, WA
  • NPI 1730139510
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1720099542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 CHERRY HILLS CIR",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758402",
            "telephone_number": "801-786-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 CHERRY HILLS CIR",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840758402",
            "telephone_number": "801-786-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "UT",
            "postal_code": "846472222",
            "country_code": "US",
            "telephone_number": "435-462-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIMATA",
        "first_name": "MANARDIE",
        "middle_name": "FRANCIS",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "164348",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30006270",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "277586-4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "190246100",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "219498",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "TPRA07902",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49408844",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "68295",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Seely, MS, CCC-SLP
• Sego Group Family Counseling & Wellness, LLC
• Frank Raymond Sharf, D.O.
• Norman Kent Sharp II, DDS
• Robert Shelton
• Peter Edward Silas, M.D.
• Silver Lining Medical & Consulting, LLC
• Jessica Slade
• Steven Smedley, PHARMD
• Cynthia Smith, PHARMD

• Certified Registered Nurse Anesthetist in Syracuse, UT
• Providers in Syracuse, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.