SHANE VERL THEOBALD CRNA
NPI 1174783492
Nurse Anesthetist, Certified Registered in Vernal, UT

NPI Status: Active since June 10, 2008

Contact Information

151 W 200 N
VERNAL, UT
ZIP 84078
Phone: (435) 781-1519
Fax: (435) 781-1519

Get Directions Write a Review

  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About SHANE THEOBALD

This page provides the complete NPI Profile along with additional information for Shane Theobald, a provider established in Vernal, Utah with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1174783492 assigned on June 2008. The practitioner's primary taxonomy code is 367500000X with license number 4938276-4406 (UT). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1174783492
Provider Name
SHANE VERL THEOBALD CRNA
Gender
Male
Entity Type
Individual
Location Address
151 W 200 N VERNAL, UT 84078
Location Phone
(435) 781-1519
Location Fax
(435) 781-1519
Mailing Address
PO BOX 790164 VERNAL, UT 84079
Mailing Phone
(435) 781-1519
Mailing Fax
(435) 781-1519
Is Sole Proprietor?
No
Enumeration Date
06-10-2008
Last Update Date
06-10-2008
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4938276-4406
License State
UT
Taxonomy Description
(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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for procedure for total knee joint replacement

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

This service was performed 15 times for 15 patients

Reviews for SHANE VERL THEOBALD CRNA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174783492, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 4 + 8 + 6 + 4 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174783492.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Family Medicine
151 W 200 N
VERNAL, UT 84078
Emergency Medicine
151 W 200 N
VERNAL, UT 84078
Dietitian, Registered
151 W 200 N
VERNAL, UT 84078
Physical Therapist
151 W 200 N
VERNAL, UT 84078
Emergency Medicine
151 W 200 N
VERNAL, UT 84078
Pharmacist
151 W 200 N
VERNAL, UT 84078
Pharmacist
151 W 200 N
VERNAL, UT 84078
Family Medicine
151 W 200 N
VERNAL, UT 84078
Nurse Anesthetist, Certified Registered
151 W 200 N
VERNAL, UT 84078
Nurse Anesthetist, Certified Registered
151 W 200 N
VERNAL, UT 84078
Emergency Medicine
151 W 200 N, ASHLEY REGIONAL MEDICAL CENTER
VERNAL, UT 84078
Nurse Anesthetist, Certified Registered
151 W 200 N
VERNAL, UT 84078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174783492, enumerated as an "individual" on June 10, 2008.

The provider is located at 151 W 200 N VERNAL, UT 84078 and the phone number is (435) 781-1519.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.