SHANNON NGUYEN (NPI# 1053890327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053890327 |
| Entity Type | Individual |
| Full Name | SHANNON NGUYEN |
| Credential | CRNA |
| Practice Address |
601 W Maple Ave Ste 503 Springdale AR 72764 |
| Mailing Address |
601 W Maple Ave Ste 503 Springdale AR 72764-5376 |
| Practice Telephone | 4797513722 |
| Practice Fax Number | 4797511099 |
| Mailing Telephone | 4797513722 |
| Mailing Fax Number | 4797511099 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | 2018029466 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C003264 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1102 W 32nd St, Joplin, MO 648043594 | 4173471111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233954 | Shannon Phuong Nguyen | Optometrist | 12107 Beach Blvd, Stanton, CA 90680-3706 | 2005-08-30 |
| 1871055707 | Shannon Nguyen | Registered Nurse | 1700 6th Ave S, Birmingham, AL 35233 | 2019-04-01 |
| 1194180307 | Shannon Nguyen | Pharmacist | 11655 Duenda Rd, San Diego, CA 92127-1110 | 2015-12-15 |
| Street Address |
601 W MAPLE AVE STE 503 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417937657 | Vernon O Tucker | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2006-01-21 |
| 1588167928 | Davis Owen James | Registered Nurse | 601 W Maple Ave Ste 503, Springdale, AR 72764 | 2018-03-12 |
| 1972005841 | Heidi Faye Charton | Registered Nurse | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2018-03-06 |
| 1467992792 | Anna Cathey Kennedy | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2017-03-06 |
| 1700156197 | Elisa Denise Jones-hollon | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2012-01-03 |
| 1710120456 | Adam Douglas White | Anesthesiology | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2009-04-10 |
| 1851557920 | Cheryl Dawn Stover | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2008-07-29 |
| 1932308277 | Kristen Leigh Lienhart | Anesthesiology | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2007-07-17 |
| 1124053806 | Sherrie Bonner | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2006-07-11 |
| 1093762569 | Garret Myhan | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2006-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932494218 | Leslie Henry | Nurse Anesthetist, Certified Registered | 5303 Bryant Pl, Springdale, AR 72764-2586 | 2011-06-14 |
| 1649399981 | Perry C Wells | Nurse Anesthetist, Certified Registered | 607 E Maple, Springdale, AR 72764 | 2007-03-28 |
| 1326125113 | Chase Placek Floyd Meggers | Nurse Anesthetist, Certified Registered | 601 W Maple Avenue, Suite 503, Springdale, AR 72764-5376 | 2006-11-01 |
| 1417937657 | Vernon O Tucker | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2006-01-21 |
| 1861055204 | Dustin J Franklin | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-22 |
| 1477045003 | Jessica Nichole Ratkovic | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764 | 2018-05-30 |
| 1396249629 | Sandy Leigh Hammon-rauchle | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764 | 2018-03-21 |
| 1780112565 | B Lane Aprn-crna | Nurse Anesthetist, Certified Registered | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 | 2017-05-24 |
| 1467992792 | Anna Cathey Kennedy | Nurse Anesthetist, Certified Registered | 601 W Maple Ave Ste 503, Springdale, AR 72764-5376 | 2017-03-06 |
| 1497143739 | Kimberly Hughes | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764-5394 | 2015-01-08 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.