SHANNON KOLUPAEVA (NPI# 1255968954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255968954 |
| Entity Type | Individual |
| Full Name | SHANNON KOLUPAEVA |
| Other Name | SHANNON ENLOE |
| Credential | RN |
| Practice Address |
800 Lakeshore Dr Birmingham AL 35229-0002 |
| Mailing Address |
5400 Brookmeadow Ln Reno NV 89511-9000 |
| Practice Telephone | 7755608000 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
1-166204 | AL | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 64423 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 LAKESHORE DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35229-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113923 | Ami Teague Shell | Pharmacist | 800 Lakeshore Dr, Mcwhorter School of Pharmacy, Birmingham, AL 35229-0001 | 2005-06-08 |
| 1326658550 | Lauren Hammond Cimino | Pharmacist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2020-08-03 |
| 1811511389 | Demetria Lache Hill | Nurse Practitioner | 800 Lakeshore Dr, Birmingham, AL 35209-6715 | 2020-06-01 |
| 1013566124 | Matthew R Price | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0002 | 2019-09-11 |
| 1255998191 | Emily Hope Walsh | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2019-05-27 |
| 1417514431 | Anna Bolton | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2019-05-24 |
| 1134786452 | Hannah Marie Turner | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0002 | 2019-05-22 |
| 1295392629 | Nathan Black | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2019-05-21 |
| 1104483536 | Zachary James Phillips | Specialist/Technologist | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2019-05-21 |
| 1861968760 | Shawntavia Latrice Powe | Emergency Medicine | 800 Lakeshore Dr, Birmingham, AL 35229 | 2018-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366828055 | Samford University | Pharmacist | 800 Lakeshore Drive, Birmingham, AL 35229 | 2015-08-04 |
| 1639736333 | Anne Leigh Westbrook | Specialist/Technologist | 800 Lakeshore Dr Pete Hanna Center, Birmingham, AL 35229-0001 | 2019-05-29 |
| 1154869345 | Noelle Vaden | Specialist/Technologist | Samford University, 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2017-02-07 |
| 1386086189 | Darrell Jon Gililland Jr. | Specialist/Technologist | Samford Univeristy, 800 Lakeshore Drive, Birmingham, AL 35229-0001 | 2013-07-22 |
| 1265877005 | Stacy N Farry | Student in an Organized Health Care Education/Training Program | Mcwhorter School of Pharmacy Samford, 800 Lakeshore Drive, Birmingham, AL 35229-0001 | 2013-05-07 |
| 1588009526 | Blaise Koffi Aziagba | Student in an Organized Health Care Education/Training Program | Mcwhorter School of Pharmacy, 800 Lakeshore Drive, Birmingham, AL 35229-0001 | 2013-05-03 |
| 1255461950 | Matthew Charles Knowles | Specialist/Technologist | Samford University 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2007-03-06 |
| 1366492514 | Alireza Farrokhroo | Student in an Organized Health Care Education/Training Program | 290519 Samford University, Birmingham, AL 35229-0001 | 2006-05-10 |
| 1902895212 | John Sowell | Pharmacist | Samford Univ Mcwhorter School of Pharmacy, 800 Lakeshore Drive, Birmingham, AL 35229-0001 | 2005-10-19 |
| 1548605298 | Elvis Esemu Mboya | Pharmacy Technician | Mcwhorter School of Pharmacy, 800 Lakeshore Dr. Homewood, Birmingham, AL 35229-0001 | 2013-05-08 |
| Find all providers in zip 35229 | ||||
| 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 |
|---|---|---|---|---|
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1205364791 | Mollie Quinn Allen | Nurse Anesthetist, Certified Registered | 1600 7th Ave S Dept Br, Birmingham, AL 35233-1711 | 2017-05-26 |
| 1669823076 | Caroline Norris | Nurse Anesthetist, Certified Registered | 1417 Bristol Mnr, Birmingham, AL 35242-5665 | 2016-06-27 |
| 1649655820 | Emily Diane Bromley | Nurse Anesthetist, Certified Registered | 619 19th St S # Jt807, Birmingham, AL 35249-6810 | 2015-07-29 |
| 1750774055 | Brendan Weishaar | Nurse Anesthetist, Certified Registered | 1156 Castlemaine Dr, Birmingham, AL 35226-5925 | 2015-03-10 |
| 1659778447 | Venessia Cunningham | Nurse Anesthetist, Certified Registered | 115 Freda Jane Ln, Birmingham, AL 35215-7105 | 2014-11-24 |
| 1366866949 | Odis Brandon Owen | Nurse Anesthetist, Certified Registered | 212 Stoneriver Dr, Birmingham, AL 35211-4550 | 2014-02-18 |
| 1437571080 | Mary Elizabeth Strong | Nurse Anesthetist, Certified Registered | 1128 Kingsbury Ave, Birmingham, AL 35213-2632 | 2014-01-16 |
| 1487083960 | Lena Oliver | Nurse Anesthetist, Certified Registered | 4712 Guilford Way, Birmingham, AL 35242-7334 | 2013-11-05 |
| 1366714396 | Britany Nicole Kirkes | Nurse Anesthetist, Certified Registered | 619 19th St S Rm Jt-845, Birmingham, AL 35249-1900 | 2012-02-07 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35229 |
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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.