Individual provider Active NPI

Shawn Murray, CRNA

  • Certified Registered Nurse Anesthetist
  • Selah, WA
National Provider Identifier
1841470697
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30007945 Issued in WA
Practice address
71 Lyle Loop
Selah, WA 98942-8869
Phone
(509) 972-1051
Fax
(509) 972-4166
NPI assigned
Nov 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN43267 RI
Certified Registered Nurse Anesthetist 367500000X AP30007945 WA Primary

Addresses

Primary practice location

71 Lyle Loop
Selah, WA 98942-8869

Mailing address

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 972-1051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000352 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981785565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Idaho Anesthesia Associates PCGroup PAC ID 5890957716, 8 clinicians

Practice addresses (Care Compare)

350 N Meridian St
Blackfoot, ID 83221-1625
Phone (208) 782-2900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN43267RIMDCertified Registered Nurse Anesthetist
AP30007945WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Idaho Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2012 Accepting new patients
Blackfoot Anesthesia Services LLC Anesthesiology CurrentSince Feb 1, 2011 Accepting new patients
Valley View Anesthesia PA Anesthesiology CurrentSince Sep 14, 2013 Accepting new patients
Anesthesia Associates of Kent County, LLC Anesthesiology Past Accepting new patients
Physician Anesthesia Assoc Inc PS Anesthesiology PastSince Nov 21, 2016 Accepting new patients

Locations

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

350 N Meridian St
Blackfoot, ID 83221
Phone (208) 782-0300

2025 E 17th St
Idaho Falls, ID 83404
Phone (208) 524-2025

285 Vista Dr
Pocatello, ID 83201
Phone (208) 233-8344

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238198400000",
    "number": "1841470697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023761",
            "telephone_number": "509-972-1051",
            "fax_number": "509-972-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LYLE LOOP",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989428869",
            "telephone_number": "509-972-1051",
            "fax_number": "509-972-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "SHAWN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2009-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "RN43267",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30007945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2009; 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.

Verify at the official NPI Registry.