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

Kellie Shay Caudle

Individual provider Certified Registered Nurse Anesthetist · NPI 1134565526

Kellie Shay Caudle is a Certified Registered Nurse Anesthetist (CRNA) in Hickory, North Carolina. Qualified in 2013, 13 years ago. Practices with Iredell Memorial Hospital Incorporated, a 33-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013

Practice location Address checks out

810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone: (828) 326-3000
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 092878 (NC)

Record details

NPI number1134565526
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2013
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address810 Fairgrove Church Rd, Hickory, NC 28602-9617

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Iredell Memorial Hospital Incorporated — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Hickory