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

Shad Fly

Individual provider Certified Registered Nurse Anesthetist · NPI 1861055006

Shad Fly is a Certified Registered Nurse Anesthetist (CRNA) in Spokane, Washington. Qualified in 2022, 4 years ago. Practices with Anesthesia Associates, Ps, a 63-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2019
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Practice location Address checks out

800 W 5th Ave
Spokane, WA 99204-2803
Phone: (509) 458-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP61299457 (WA)

Record details

NPI number1861055006
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 15, 2019
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022
Mailing address23225 E Maxwell Ave, Liberty Lake, WA 99019-8559

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Anesthesia Associates, Ps — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spokane