SHAWN A WREN


Address: 98 Poplar St, Blackfoot, ID 83221
Phone: 2087854100

SHAWN A WREN (NPI# 1922530062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922530062
Entity Type Individual
Full Name SHAWN A WREN
Credential CRNA
Practice Address 98 Poplar St
Blackfoot
ID 83221
Mailing Address Po Box 1627
Idaho Falls
ID 83403-1627
Practice Telephone 2087854100
Mailing Telephone 2085528778
Enumeration Date 2017-03-29
Last Update Date 2018-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 59106 ID Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered CRNA-01479 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 1922530062 05

Office Location

Street Address 98 POPLAR ST
City BLACKFOOT
State ID
Zip Code 83221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609871474 Wade H Flowers Jr. Pharmacist 98 Poplar St, Blackfoot, ID 83221-1758 2005-06-16
1629685177 Lucus Craig Webb Christoffersen Registered Nurse 98 Poplar St, Blackfoot, ID 83221-1799 2020-09-29
1770111924 Kywnynn Madsen Dietitian, Registered 98 Poplar St, Blackfoot, ID 83221-1758 2020-03-31
1235795915 Megan Lewis Advanced Practice Midwife 98 Poplar St, Blackfoot, ID 83221-1758 2019-05-17
1083177935 Jason Lee Harmon Student in an Organized Health Care Education/Training Program 98 Poplar St, Blackfoot, ID 83221-1758 2019-04-08
1851870091 Jennifer L Wistisen Physician Assistant 98 Poplar St, Blackfoot, ID 83221-1799 2018-08-08
1114405396 Ryan Blair Killpack Physician Assistant 98 Poplar St, Blackfoot, ID 83221-1758 2018-07-31
1023504651 Amanda Wray Pharmacist 98 Poplar St, Blackfoot, ID 83221-1758 2018-07-06
1699268276 Zachary D Morrow Nurse Anesthetist, Certified Registered 98 Poplar St, Blackfoot, ID 83221-1758 2018-06-08
1184115107 Megan Nicole Broyles Pharmacist 98 Poplar St, Blackfoot, ID 83221 2018-05-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932711165 Samantha Paige Averett Social Worker 60 N Broadway, Blackfoot, ID 83221 2020-08-19
1730711656 Sara Marie Letham Family Medicine 33 S Thompson Lane, Blackfoot, ID 83221 2020-02-08
1962994962 Tyler Thomas Wood Student in an Organized Health Care Education/Training Program 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 2018-06-05
1801336276 Bmh, Inc. Internal Medicine 235 Poplar St, Blackfoot, ID 83221 2017-03-03
1497119804 Susan Doran Social Worker 720 E. Alice, Blackfoot, ID 83221 2016-04-12
1427412121 Josie Russell Adkins Counselor 720 East Alice, Blackfoot, ID 83221 2016-04-08
1740590314 Ashley Nichole Thomas Physician Assistant 710 E. Alice Street, Blackfoot, ID 83221 2010-10-18
1528373313 Stephanie Lynn Henderson Dietitian, Registered 1555 Vernon Ave, Blackfoot, ID 83221 2010-08-17
1184850141 Joy H. Taylor Nurse Practitioner 1441 Parkway Drive, Blackfoot, ID 83221 2009-06-04
1427232925 Nathan E. Sneddon Anesthesiology 98 Poplar St Fl 3, Blackfoot, ID 83221 2007-12-20
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467863829 Grant Gundersen Nurse Anesthetist, Certified Registered 646 W 300 S, Blackfoot, ID 83221-6334 2014-05-19
1699268276 Zachary D Morrow Nurse Anesthetist, Certified Registered 98 Poplar St, Blackfoot, ID 83221-1758 2018-06-08
1821528084 Cory James Sayre Nurse Anesthetist, Certified Registered 98 Poplar St, Blackfoot, ID 83221 2017-06-19
1770928244 Jess Field Nurse Anesthetist, Certified Registered 98 Poplar St, Blackfoot, ID 83221-1758 2013-05-09
1386992097 Jed D Hanks Nurse Anesthetist, Certified Registered 98 Poplar St, Blackfoot, ID 83221-1758 2012-08-28
1750651782 East Idaho Anesthesia Associates PC Nurse Anesthetist, Certified Registered 98 Poplar St, Blackfoot, ID 83221-1758 2012-01-06
1144511452 Grove City Anesthesia LLC Nurse Anesthetist, Certified Registered 1485 Parkway Dr, Blackfoot, ID 83221-1667 2011-04-21
1245412063 Ryan T Sayre Nurse Anesthetist, Certified Registered 98 Poplar St, Blackfoot, ID 83221-1758 2007-12-04
1063590107 Blake G Purcell Nurse Anesthetist, Certified Registered 1485 Parkway Dr, Blackfoot, ID 83221-1667 2006-11-02
1497833537 Henry M Adams Nurse Anesthetist, Certified Registered 1485 Parkway Dr, Blackfoot, ID 83221-1667 2006-11-02
Find all providers in BLACKFOOT

Competitor

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City BLACKFOOT
Zip Code 83221

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Dataset Information

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.

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