Active NPI
Shivawn Rose Woods, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 749921
- Practice address
- 13737 Noel Road
Suite 1400
Dallas, TX 75240-2004 - Phone
- (972) 715-5000
- NPI assigned
- Nov 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 749921 | TX | Primary |
Addresses
Primary practice location
13737 Noel Road
Suite 1400
Dallas, TX 75240-2004
Mailing address
PO Box 650865
Dallas, TX 75265-0865
Phone (972) 715-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8765UD | Other | TX | BCBS |
| P01189052 | Other | TX | RAILROAD MEDICARE |
| 314635901 | Medicaid | TX |
Other names 1
- Shivawn Rose Bilberry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 Broadway
Seattle, WA 98122-4201
Phone (425) 615-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 749921 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advanced Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
1301 4th Ave NW
Ste 201
Issaquah, WA 98027
Phone (425) 270-3713
1145 Broadway
Seattle, WA 98122
35302 SE Center St
Snoqualmie, WA 98065
Phone (425) 216-8810
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1700211786
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1821342205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650865",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650865",
"telephone_number": "972-715-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13737 NOEL ROAD",
"address_2": "SUITE 1400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752402004",
"telephone_number": "972-715-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "SHIVAWN",
"middle_name": "ROSE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-06",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "749921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8765UD",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01189052",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314635901",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHIVAWN",
"last_name": "BILBERRY",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.