Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carson Slade Shockley

Individual provider Anesthesiologist Assistant · NPI 1285561605

Carson Slade Shockley is an Anesthesiology Assistant in Joplin, Missouri. Graduated from Nova Southeastern College of Osteo Medicine in 2026. Licensed in Missouri.

Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
MO
In the registry since
2026

Practice location Address checks out

1102 W 32nd St
Joplin, MO 64804-3503
Phone: (417) 347-1111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X (MO)

Record details

NPI number1285561605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 7, 2026
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address11659 Se 10th St, Baxter Springs, KS 66713-1484

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Joplin