Provider Demographics
NPI:1952588170
Name:GREENHILL, DASHAUN M (CRNA)
Entity Type:Individual
Prefix:
First Name:DASHAUN
Middle Name:M
Last Name:GREENHILL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:DASHAUN
Other - Middle Name:M
Other - Last Name:FLETCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2700 CLAY EDWARDS DR STE 240
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3254
Mailing Address - Country:US
Mailing Address - Phone:816-691-2021
Mailing Address - Fax:816-376-7690
Practice Address - Street 1:2700 CLAY EDWARDS DR STE 240
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3254
Practice Address - Country:US
Practice Address - Phone:816-691-2021
Practice Address - Fax:816-376-7690
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCRNA1374367500000X
KS43-557611367500000X
MO2020013781367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192945702OtherCSHCN
TX192945703Medicaid
TX192945704OtherCSHCN
TX192945702OtherCSHCN