IndividualActive
Shane Harrison, CRNA
NPI 1265519748 · Certified Registered Nurse Anesthetist · Fillmore, UT
Provider details
- NPI number
- 1265519748
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 2776204406 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
674 S Highway 99
Fillmore, UT 84631-5013
Phone: (435) 743-5591
Street-level locationGet directions
Mailing address
Po Box 30180
Salt Lake City, UT 84130-0180
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2012-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.