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

Active since June 10, 2008
151 W 200 N, VERNAL, UT 84078(435) 781-1519(435) 781-1519 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shane Verl Theobald Crna NPPES

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

SHANE VERL THEOBALD CRNA (NPI 1174783492) is an individual nurse anesthetist, certified registered in Vernal, Utah, licensed in Utah (4938276-4406) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1174783492
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSHANE VERL THEOBALDCredential: CRNA
Location Address151 W 200 NVernal, UT 84078-1907
Mailing AddressPo Box 790164Vernal, UT 84079-0164 · (435) 781-1519 · Fax (435) 781-1519
Fax(435) 781-1519
Sole ProprietorNo
Enumeration DateJune 10, 2008
NPI 1174783492 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 UT · 4938276-4406
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.

151 W 200 N, Vernal, UT 84078

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Other Providers at the Same Location NPPES 12

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

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Theobald's NPI number?

The NPI number for Shane Theobald is 1174783492. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Shane Theobald located?

Shane Theobald practices at 151 W 200 N, Vernal, UT 84078. The listed phone number is (435) 781-1519.

What is Shane Theobald's specialty?

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

When was this NPI record last updated?

The NPPES record for Shane Theobald was last updated on June 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.