Shelley J Kudialis is a Johnson City, Tennessee based nurse anesthetist with 31 years of experience as Anesthesia Administration. She completed she graduation in 1994. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shelley J Kudialis is RN0000158056 for Anesthesia Administration in Tennessee. Her current practice location is 1114 Sunset Dr, Suite 4, Johnson City. Patients can reach her at 423-283-0776 or can fax her at 423-283-0549. Shelley J Kudialis is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1265562144. Shelley J Kudialis 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:
Shelley J Kudialis 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
Experience:
31+ years
Medical School Attended:
Other
Graduation Year:
1994
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1114 Sunset Dr, Suite 4, Johnson City, Tennessee, 37604-2969
Phone:
423-283-0776
Fax:
423-283-0549
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.
PAC ID:
7113027103
Enrollment ID:
I20191125001443
NPI Number:
1265562144
NPI Enumeration Date:
07 Mar, 2007
NPI Last Update On:
29 Oct, 2019
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shelley J Kudialis are as mentioned below.
License Number
Specialization
State
Status
RN0000158056
Anesthesia Administration
Tennessee
Primary
APRN9387933
Anesthesia Administration
Florida
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Shelley J Kudialis has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Center For Sight Pl (1658340294)
55
Other Medical Identifiers:
Other legacy medical identifiers associated with Shelley J Kudialis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PENDING
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
230 Lake Ridge Dr, Jonesborough, Tennessee
Zip:
37659-4798
Phone Number:
423-438-0521
Fax Number:
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Patients can reach Shelley J Kudialis at 1114 Sunset Dr, Suite 4, Johnson City, Tennessee or can call to book an appointment on 423-283-0776.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.