Active NPI
Ryan Michael Shedd, CRNA
- Certified Registered Nurse Anesthetist
- Powell, WY
National Provider Identifier
1841259355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9172706
- Practice address
- 777 Avenue H
Powell, WY 82435 - Phone
- (307) 754-7257
- Fax
- (307) 754-7751
- NPI assigned
- Mar 22, 2006
- Last updated
- Jan 7, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 43-557662 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9172706 | FL | Primary |
Addresses
Primary practice location
777 Avenue H
Powell, WY 82435
Mailing address
777 Avenue H
Powell, WY 82435
Phone (307) 754-7257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306250300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, CO
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1284 | WY | MD | Professional Counselor |
| 43-557662 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jax Anesthesia Providers | Current | Accepting new patients | |
| Anesthesia Associates of Clay County | Past | Accepting new patients | |
| Hodgeman County Health Center | Past | Accepting new patients |
Locations
4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084
4800 Belfort Rd
Fl 3
Jacksonville, FL 32256
Phone (904) 265-6478
Interoperability endpoints
- rshedd@hscmh.cernerdirect.com
Organizations & group practices 8
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.
-
- Critical Access Hospital
- Thermopolis, WY
- NPI 1861550642
-
- Critical Access Hospital
- Rawlins, WY
- NPI 1710298757
-
- Critical Access Hospital
- Powell, WY
- NPI 1497753115
-
- Critical Access Hospital
- Worland, WY
- NPI 1255368593
-
- Critical Access Hospital
- Hugo, CO
- NPI 1720107519
-
- Ambulatory Surgical Clinic/Center
- Jacksonville, FL
- NPI 1962587741
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1326040908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1841259355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 AVENUE H",
"city": "POWELL",
"state": "WY",
"postal_code": "82435",
"telephone_number": "307-754-7257",
"fax_number": "307-754-7751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 AVENUE H",
"city": "POWELL",
"state": "WY",
"postal_code": "82435",
"telephone_number": "307-754-7257",
"fax_number": "307-754-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEDD",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-557662",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9172706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306250300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.