NICHOLAS JAMES SHIELDS (NPI# 1710323191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710323191 |
| Entity Type | Individual |
| Full Name | NICHOLAS JAMES SHIELDS |
| Credential | RN/CRNA |
| Practice Address |
1209 Nw North Ridge Dr Ste B Anesthesia Services of Blue Springs Blue Springs MO 64015-6320 |
| Mailing Address |
4806 Ne 91st Ter Kansas City MO 64156-6319 |
| Practice Telephone | 8169888415 |
| Practice Fax Number | 8169888395 |
| Mailing Telephone | 9136362264 |
| Mailing Fax Number | 8169888395 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2013017078 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE RAILROAD | P01243331 | 01 |
| MO | 1710323191 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 W 4th St, Coffeyville, KS 673373306 | 6202511200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689225880 | Nicholas A Shields | Dietitian, Registered | 4335 Utah St, San Diego, CA 92104-1212 | 2019-09-28 |
| 1114238516 | Nicholas Allen Shields | Physical Therapist | 1619 South Kentucky St., Amarillo, TX 79102 | 2010-06-30 |
| Street Address |
1209 NW NORTH RIDGE DR STE B ANESTHESIA SERVICES OF BLUE SPRINGS |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64015-6320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548258403 | David Paul Breyer | Anesthesiology | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2005-10-13 |
| 1053412601 | Timothy D Fundenberger | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-26 |
| 1588765135 | Steven Wayne Mcfee | Anesthesiology | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-26 |
| 1104927755 | David E Thompson | Anesthesiology | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-26 |
| 1821199480 | Steven C Weaver | Anesthesiology | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-26 |
| 1386744522 | Marilyn J Murphy | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-25 |
| 1588764096 | Sherry J Hugi | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-24 |
| 1942300520 | Colleen Killian | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-24 |
| 1306946801 | Denise A Wilson | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-24 |
| 1841390366 | Lesley S. Weaver | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1700207099 | Usa Rental & Sales, Inc | Contractor | 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 | 2014-01-03 |
| 1629416540 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 | 2013-06-13 |
| 1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
| 1043560493 | Timothy A. Cox | Specialist/Technologist, Other | 808 Nw Maynard Street, Blue Springs, MO 64015 | 2012-09-13 |
| 1578847547 | Shannon J Hattey | Pharmacist | 1701 Nw 7 Hwy, Blue Springs, MO 64015 | 2011-10-07 |
| 1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| Find all providers in zip 64015 | ||||
| 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 |
|---|---|---|---|---|
| 1164719969 | Dina Lynn Lutjen | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr, Suite B, Blue Springs, MO 64015-6321 | 2011-06-30 |
| 1821214438 | Loricia Lea Jenkins | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Drive, Suite B, Anesthesia Services of Blue Springs, Blue Springs, MO 64014-6320 | 2007-04-18 |
| 1831197680 | Olga Alex Chernyak | Nurse Anesthetist, Certified Registered | 201 Nw R D Mize Rd, St. Mary's Medical Center/anesthesia Services of Blue S, Blue Springs, MO 64014-2513 | 2005-07-13 |
| 1154326874 | Brenda Rae Rutherford | Nurse Anesthetist, Certified Registered | 209 Nw North Ridge Drive, Suite B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2005-06-17 |
| 1730556606 | Sheridan Healthcare of Missouri, Inc. | Nurse Anesthetist, Certified Registered | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2015-08-27 |
| 1053412601 | Timothy D Fundenberger | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-26 |
| 1063513612 | Jeremy Michael Daves | Nurse Anesthetist, Certified Registered | 201 Nw R D Mize Rd, Anesthesia Services of Blue Springs/st. Mary's Medical, Blue Springs, MO 64014-2513 | 2006-09-26 |
| 1386744522 | Marilyn J Murphy | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-25 |
| 1588764096 | Sherry J Hugi | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-24 |
| 1942300520 | Colleen Killian | Nurse Anesthetist, Certified Registered | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-24 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64015 |
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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.