Active NPI
Shannon Taylor
- Certified Registered Nurse Anesthetist
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- L6-0A10854
- Practice address
- 640 S State St
Dover, DE 19901-3530 - Phone
- (302) 674-4700
- Fax
- (302) 744-6407
- NPI assigned
- Dec 30, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0041067 | DE | |
| Certified Registered Nurse Anesthetist | 367500000X | L6-0A10854 | DE | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | AC003805 | MD |
Addresses
Primary practice location
640 S State St
Dover, DE 19901-3530
Mailing address
34682 Villa Cir Unit 4305
Lewes, DE 19958-2724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210917002070 | MD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9638576663 | Reassigns benefits to 1 organization |
| I20230420000062 | DE | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9638576663 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Delaware Anesthesia Associates PABayhealth Medical Center, IncAnesthesia Company LLC
Practice addresses (Care Compare)
18941 John J Williams Hwy
Southern Delaware Surgery Center
Rehoboth Beach, DE 19971-4404
Phone (302) 644-6992
640 S State St
Dover, DE 19901-3530
800 Prince Frederick Blvd
Prince Frederick, MD 20678-3145
Phone (410) 535-2270
Hospital & facility affiliations
- Beebe Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0041067 | DE | MD | Registered Nurse |
| L6-0A10854 | DE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Company, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Northstar Anesthesia of Delaware, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Delaware Anesthesia Associates, PA | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Anesthesia Services PA | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539
18941 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone (302) 644-6992
701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
Organizations & group practices 22
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.
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1871548156
MD, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilmington, DE
- NPI 1316544976
DE, Nurse Anesthetist, Certified Registered
-
- Cardiovascular Disease Physician
- Milford, DE
- NPI 1063938439
-
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
-
- Medical Oncology Physician
- Dover, DE
- NPI 1295292183
-
- Clinic Pharmacy
- Dover, DE
- NPI 1336420280
-
- Cardiovascular Disease Physician
- Dover, DE
- NPI 1417473935
-
- Anatomic Pathology Physician
- Dover, DE
- NPI 1609333590
Hospital & facility affiliations 1
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": "1483056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1891230769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34682 VILLA CIR UNIT 4305",
"city": "LEWES",
"state": "DE",
"postal_code": "199582724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-674-4700",
"fax_number": "302-744-6407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-30",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0041067",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DE",
"license": "L6-0A10854",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "AC003805",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.