Active NPI
Shirley Lynn Hergesheimer, CRNA
- Certified Registered Nurse Anesthetist
- Michie, TN
National Provider Identifier
1801943519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN66309
- Practice address
- 200 Williams Rd.
Michie, TN 38357 - Phone
- (901) 606-3338
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN66309 | TN | Primary |
Addresses
Primary practice location
200 Williams Rd.
Michie, TN 38357
Mailing address
200 Williams Road
Michie, TN 38357
Phone (901) 606-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN66309 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Anesthesia Group | Past | Accepting new patients | |
| Natchez Regional Medical Center | Past | Accepting new patients | |
| Baptist Memorial Hospital-Jonesboro Inc | Past | Accepting new patients | |
| Anesthesia Associates of Savannah ,PA | Past | Accepting new patients | |
| Tupelo Anesthesia Group PA | Past | Accepting new patients | |
| Professional Anesthesia Associates | Past | Accepting new patients | |
| Baptist Memorial Hospital - Golden Triangle Inc. | Past | Accepting new patients | |
| Northeast Arkansas Health System LLC | Past | Accepting new patients | |
| Natchez Anesthesia | Past | Accepting new patients | |
| Anesthesia Care Enterprises, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 10
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.
-
- Pain Medicine (Anesthesiology) Physician
- Jackson, TN
- NPI 1043309271
-
- Anesthesiology Physician
- Jackson, TN
- NPI 1568571743
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1487663688
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1861450371
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
-
dba NEA Baptist Memorial Hospital
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
- Anesthesiology Physician
- Natchez, MS
- NPI 1831203165
-
dba Natchez Regional ER Physicians
- Specialist
- Natchez, MS
- NPI 1295879203
-
dba NEA Medical Center
- Cardiovascular Specialist/Technologist
- Jonesboro, AR
- NPI 1750322087
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1558390443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801943519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WILLIAMS ROAD",
"city": "MICHIE",
"state": "TN",
"postal_code": "38357",
"telephone_number": "901-606-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WILLIAMS RD.",
"city": "MICHIE",
"state": "TN",
"postal_code": "38357",
"telephone_number": "901-606-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERGESHEIMER",
"first_name": "SHIRLEY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN66309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michie, TN
Sources for this page
- 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.