Active NPI
Shelley Louise Lansaw, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, SC
National Provider Identifier
1861565962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3068
- Practice address
- 701 Grove Rd
Greenville, SC 29605-4210 - Phone
- (864) 455-3076
- Fax
- (864) 455-4135
- NPI assigned
- Nov 16, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3014726 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 074400 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 3068 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd
Greenville, SC 29605-4210
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Other practice location 1
76 Peachtree Rd
Suite 300
Asheville, NC 28803-3131
Phone (828) 254-1969
Other practice location 2
800 Rose St
Lexington, KY 40536-4210
Phone (859) 323-5956
Other names 1
- Shelley Louise Richardson
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074400 | NC | MD | Certified Registered Nurse Anesthetist |
| 3068 | SC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1861565962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-455-3076",
"fax_number": "864-455-4135"
}
],
"practiceLocations": [
{
"address_1": "76 Peachtree Rd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288033131",
"country_code": "US",
"telephone_number": "828-254-1969",
"fax_number": "828-254-4611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405364210",
"country_code": "US",
"telephone_number": "859-323-5956",
"fax_number": "859-323-1080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANSAW",
"first_name": "SHELLEY",
"middle_name": "LOUISE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3014726",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "074400",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "3068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "RICHARDSON",
"middle_name": "LOUISE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.