JUDITH D SHACKELFORD CRNA
NPI 1447347117
Nurse Anesthetist, Certified Registered in Fairmont, WV

NPI Status: Active since October 06, 2006

Contact Information

FAIRMONT GENERAL HOSPITAL
1325 LOCUST AVENUE
FAIRMONT, WV
ZIP 26554
Phone: (304) 367-7267
Fax: (304) 367-7503

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  • Individual
  • Female
  • Nurse Anesthetist, Certified Registered

About JUDITH SHACKELFORD

This page provides the complete NPI Profile along with additional information for Judith Shackelford, a provider established in Fairmont, West Virginia with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1447347117 assigned on October 2006. The practitioner's primary taxonomy code is 367500000X with license number 18137 (WV). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1447347117
Provider Name
JUDITH D SHACKELFORD CRNA
Gender
Female
Entity Type
Individual
Location Address
FAIRMONT GENERAL HOSPITAL 1325 LOCUST AVENUE FAIRMONT, WV 26554
Location Phone
(304) 367-7267
Location Fax
(304) 367-7503
Mailing Address
PO BOX 11302 CHARLESTON, WV 25339
Mailing Phone
(304) 346-9400
Mailing Fax
(304) 367-7503
Is Sole Proprietor?
No
Enumeration Date
10-06-2006
Last Update Date
05-14-2008
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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.
18137
License State
WV
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0066583000MEDICAID (05)WV 
20554238700OTHER (01)WVWORKERS COMP
3810006746MEDICAID (05)WV 
9333201MEDICARE PIN (08)WV 
DF0767OTHER (01)WVRR MEDICARE
001907661OTHER (01)WVMSBCBS
P00377021OTHER (01)WVRR MEDICARE
9364011MEDICARE PIN (08)WV 
8219671MEDICARE PIN (08)WV 
001721190OTHER (01)WVMTN. STATE BLUE CROSS
205542387OTHER (01)WVAAP TRI CARE
0166583000MEDICAID (05)WV 
8219672MEDICARE PIN (08)WV 

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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 1447347117, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 8 + 7 + 6 + 4 + 1 + 4 + 1 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1447347117.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
FAIRMONT GENERAL HOSPITAL, 1325 LOCUST AVENUE
FAIRMONT, WV 26554

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447347117, enumerated as an "individual" on October 06, 2006.

The provider is located at FAIRMONT GENERAL HOSPITAL 1325 LOCUST AVENUE FAIRMONT, WV 26554 and the phone number is (304) 367-7267.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. Please consult your insurance carrier or call the provider to verify.