Judith D Shackelford is a Fairmont, West Virginia based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Judith D Shackelford is 18137 for Anesthesia Administration in West Virginia. Her current practice location is Fairmont General Hospital, 1325 Locust Avenue, Fairmont. Patients can reach her at 304-367-7267 or can fax her at 304-367-7503. Judith D Shackelford is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1447347117. Judith D Shackelford is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Judith D Shackelford speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Female
Practice Address:
Fairmont General Hospital, 1325 Locust Avenue, Fairmont, West Virginia, 26554
Phone:
304-367-7267
Fax:
304-367-7503
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1447347117
NPI Enumeration Date:
06 Oct, 2006
NPI Last Update On:
14 May, 2008
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Judith D Shackelford are as mentioned below.
License Number
Specialization
State
Status
18137
Anesthesia Administration
West Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Judith D Shackelford such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
001907661
Other
West Virginia
MSBCBS
001721190
Other
West Virginia
MTN. STATE BLUE CROSS
0066583000
Medicaid
West Virginia
3810006746
Medicaid
West Virginia
DF0767
Other
West Virginia
RR MEDICARE
205542387
Other
West Virginia
AAP TRI CARE
P00377021
Other
West Virginia
RR MEDICARE
0166583000
Medicaid
West Virginia
20554238700
Other
West Virginia
WORKERS COMP
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 11302, Charleston, West Virginia
Zip:
25339-1302
Phone Number:
304-346-9400
Fax Number:
304-720-8461
Patients can reach Judith D Shackelford at Fairmont General Hospital, 1325 Locust Avenue, Fairmont, West Virginia or can call to book an appointment on 304-367-7267.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.