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

Shannon Logel Canterbury

Individual provider Registered Nurse · NPI 1063118115

Shannon Logel Canterbury is a Certified Registered Nurse Anesthetist (CRNA) in Banner Elk, North Carolina. Qualified in 2024, 2 years ago. Practices with Watauga Medical Center Inc, a 93-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2023

Practice location Address checks out

150 Stoneybrook Ln
Banner Elk, NC 28604-9417
Phone: (828) 260-5937
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 343253 (NC)

Record details

NPI number1063118115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2023
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 25, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Watauga Medical Center Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount