MRS. SHELLY RENEA FAIR (NPI# 1639283732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639283732 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY RENEA FAIR |
| Credential | CRNA |
| Practice Address |
601 W Leota North Platte NE 69101 |
| Mailing Address |
514 N Maple North Platte NE 69101 |
| Practice Telephone | 3086968000 |
| Mailing Telephone | 3085346965 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 100553 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | AANA # | 044272 | 01 |
| Street Address |
601 W LEOTA |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659312965 | North Platte Anesthesia LLC | Anesthesiology | 601 W Leota, Anesthesia Department, North Platte, NE 69101 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| 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 |
|---|---|---|---|---|
| 1295299204 | Alexander Donald Lucci | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2019-01-23 |
| 1689146128 | Jonathan Wade | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2018-12-21 |
| 1710452834 | Nicholas Singer | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2018-10-04 |
| 1932694346 | Elijah Samuel Vincent | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2018-06-27 |
| 1710409073 | Abraham Romrell Anderson | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2017-07-08 |
| 1386998557 | Drew B Rubalcava | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2012-11-09 |
| 1114241791 | Michelle M. Vance | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2010-03-25 |
| 1104068436 | Jeffrey D Mcgee | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2009-04-01 |
| 1780869222 | North Platte Surgery Center Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 621 W Francis St, North Platte, NE 69101-0608 | 2008-01-03 |
| 1306065552 | Jamey L Johnson | Nurse Anesthetist, Certified Registered | 601 W Leota St, North Platte, NE 69101-6525 | 2007-04-25 |
| Find all providers in NORTH PLATTE | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
Please comment or provide details below to improve the information on MRS. SHELLY RENEA FAIR.
| 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.