Active NPI
Shonna Y. Parks, CRNA
- Certified Registered Nurse Anesthetist
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 612905
- Practice address
- 3501 Knickerbocker Rd
San Angelo, TX 76904-7610 - Phone
- (325) 949-9555
- NPI assigned
- May 18, 2006
- Last updated
- Sep 9, 2019
- 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 | 612905 | TX | Primary |
Addresses
Primary practice location
3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Mailing address
PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 658-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.63 of 100
- Quality
- 78.21
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 67.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 612905 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Clinic | Current | Accepting new patients | |
| Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741
3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361
3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411
3605 Executive Dr
San Angelo, TX 76904
Phone (325) 949-9555
Organizations & group practices 3
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.
-
- Family Medicine Physician
- San Angelo, TX
- NPI 1770587149
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1154317394
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": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1932152204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22000",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769027200",
"telephone_number": "325-658-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 KNICKERBOCKER RD",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047610",
"telephone_number": "325-949-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "SHONNA",
"middle_name": "Y.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "612905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.