Provider Type Icon

LYEA DORAE SHINE NPI 1396346870


NPI Information

NPI: 1396346870
Provider Name: LYEA DORAE SHINE
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
502 MCCURRY ST
PLEASANT HOPE, MO
ZIP 65725
Phone: (904) 254-3686
Get Directions

Lyea Dorae Shine is a nurse anesthetist certified registered in Pleasant Hope, MO with 3 years of experience. The provider is (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. Lyea Dorae Shine NPI is 1396346870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

502 MCCURRY ST
PLEASANT HOPE, MO
ZIP 65725-231
Phone: (904) 254-3686

The enumeration date for this NPI number is 11/3/2020 and was last updated on 6/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse2014029095MISSOURINo
2367500000XNurse Anesthetist, Certified Registered811313NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.