SHANNON KELLY FITZGERALD (NPI# 1730709486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730709486 |
| Entity Type | Individual |
| Full Name | SHANNON KELLY FITZGERALD |
| Credential | CRNA |
| Practice Address |
1001 Main St Ste K-3502 Buffalo NY 14203-1009 |
| Mailing Address |
224 E Terrace Ave Lakewood NY 14750-1533 |
| Practice Telephone | 7163236658 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN178240 | AZ | Nursing Service Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 748921-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN629994 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881229680 | Shannon Marie Fitzgerald | Social Worker | 12 Market Sq Apt 2, Amesbury, MA 01913-2442 | 2020-03-12 |
| 1316583826 | Shannon Fitzgerald | Behavior Technician | 6458 City West Pkwy, Eden Prairie, MN 55344-3245 | 2019-11-19 |
| 1922470475 | Shannon Fitzgerald | Behavioral Analyst | 2035 Sw 75th St Ste B, Gainesville, FL 32607-3425 | 2015-10-23 |
| 1356717607 | Shannon Bridget Fitzgerald | Nurse Practitioner | 4849 William Flynn Hwy, Allison Park, PA 15101-2319 | 2015-08-20 |
| 1821415936 | Shannon L. Fitzgerald | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-03-26 |
| 1942562095 | Shannon Marie Fitzgerald | Early Intervention Provider Agency | 597 3rd Ave, Troy, NY 12182-2509 | 2012-06-14 |
| 1033362595 | Shannon Marie Fitzgerald | Counselor | 44443 10th St W, Lancaster, CA 93534-3324 | 2008-10-28 |
| 1326012246 | Shannon Fitzgerald | Dietitian, Registered | 29000 Center Ridge Rd, Sjws Dietary Services, Westlake, OH 44145 | 2006-02-15 |
| 1780674200 | Shannon Marie Fitzgerald | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-10-26 |
| Street Address |
1001 MAIN ST STE K-3502 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980266 | Mohamad Karim Kechli | Anesthesiology | 1001 Main St Ste K-3502, Buffalo, NY 14203-1009 | 2019-06-12 |
| 1568086247 | Jennifer M Hull | Nurse Anesthetist, Certified Registered | 1001 Main St Ste K-3502, Buffalo, NY 14203-1009 | 2020-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
| 1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
| 1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
| 1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
| Find all providers in zip 14203 | ||||
| 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 |
|---|---|---|---|---|
| 1306245154 | Fayelyn Jean Horesh | Nurse Anesthetist, Certified Registered | 935 W Ferry St, Apt 4, Buffalo, NY 14209-1425 | 2014-08-18 |
| 1265674964 | Mary Elizabeth Rayfield | Nurse Anesthetist, Certified Registered | 216 Brookside Dr, Buffalo, NY 14220-2846 | 2009-03-27 |
| 1851470207 | Roberta Lynn Reedy | Nurse Anesthetist, Certified Registered | Vawnyhcs 3495 Bailey Avenue, Routing Code 128, Buffalo, NY 14215 | 2006-11-06 |
| 1871537464 | Parkside Medical Anesthesia Associates | Nurse Anesthetist, Certified Registered | 2157 Main Street, Buffalo, NY 14214 | 2006-06-15 |
| 1346282316 | David Scott James | Nurse Anesthetist, Certified Registered | 33 Prairie Dr, Buffalo, WY 82834-9340 | 2006-06-12 |
| 1164427274 | Jeffery W Edstrom | Nurse Anesthetist, Certified Registered | 497 W Lott St, Buffalo, WY 82834-1658 | 2005-06-15 |
| 1568086247 | Jennifer M Hull | Nurse Anesthetist, Certified Registered | 1001 Main St Ste K-3502, Buffalo, NY 14203-1009 | 2020-05-29 |
| 1659994606 | Dene Ann Dainotto | Nurse Anesthetist, Certified Registered | 2950 Elmwood Ave, Buffalo, NY 14217-1304 | 2020-05-26 |
| 1912528183 | Laura M Senchoway | Nurse Anesthetist, Certified Registered | 462 Grider St, Buffalo, NY 14215-3021 | 2020-04-29 |
| 1881215093 | Kristen Fay Phillips | Nurse Anesthetist, Certified Registered | 462 Grider St, Buffalo, NY 14215-3021 | 2020-04-28 |
| Find all providers in BUFFALO | ||||
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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.