MS. SHIRLEY A JAUTZ CRNA
NPI 1003007329
Nurse Anesthetist, Certified Registered in Poplar Bluff, MO

Q: What is Shirley Jautz's NPI number?

The NPI number for Shirley Jautz is 1003007329. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Q: What is Shirley Jautz's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Jautz was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2007

221 PHYSICIANS PARK, POPLAR BLUFF, MO 63901(573) 727-9080 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Shirley A Jautz Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHIRLEY A JAUTZ CRNA (NPI 1003007329) is an individual nurse anesthetist, certified registered in Poplar Bluff, Missouri, licensed in Missouri (129615) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1003007329

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMS. SHIRLEY A JAUTZCredential: CRNA

Location Address221 PHYSICIANS PARKPoplar Bluff, MO 63901-3956

Mailing Address5983 Us Highway 63Pomona, MO 65789-9538 · (573) 686-5550 · Fax (573) 686-2139

Phone(573) 727-9080

Sole ProprietorYes

Enumeration DateAugust 5, 2007

Last NPPES UpdateApril 9, 2014

✔ NPI 1003007329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MO · 129615

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.

221 PHYSICIANS PARK, Poplar Bluff, MO 63901

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Other Identifiers 2

Medicaid917851503MO

Medicare PIN818074008MO

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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