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

Dr. Lyda A Shambo, CRNA

Individual provider Registered Nurse · NPI 1467575894

Dr. Lyda A Shambo, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Syracuse, New York. Qualified in 2006, 20 years ago. Practices with Jefferson Anesthesiologist Services PC, a 36-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York and Virginia.

Years since qualifying
20
Licensed in
NY, VA
In the registry since
2007
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

736 Irving Ave
Syracuse, NY 13210-1602
Phone: (315) 470-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 420 Central Park W, New York, NY 10025-4375 — (917) 455-3722
  • 725 Irving Ave, Syracuse, NY 13210-1603 — (315) 470-7994
  • 475 Irving Ave, Syracuse, NY 13210-1756 — (315) 475-8401
  • 5801 E Taft Rd, Syracuse, NY 13212-3291 — (315) 418-4140

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 525267 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 0001204398 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 525267 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024167441 (VA)

Record details

NPI number1467575894
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 9, 2007
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address420 Central Park W, Apt. 4g, New York, NY 10025-4375

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Jefferson Anesthesiologist Services Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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