Shane K Wallace, CRNA
Shane K Wallace, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Pikeville, Kentucky. Qualified in 2008, 18 years ago. Practices with Pikeville Medical Center Inc, a 428-clinician group and accepts Medicare assignment. Licensed in Kentucky, Tennessee and Virginia.
- Years since qualifying
- 18
- Licensed in
- KY, TN, VA
- In the registry since
- 2009
- Specialties on file
- 4
What do these letters mean?
- CRNA — Certified Registered Nurse Anesthetist
- An advanced practice nurse who administers anaesthesia.
Practice location Address checks out
911 Bypass Rd Bldg APikeville, KY 41501-1689
Phone: (606) 430-3500
Fax: (606) 437-1033
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 3008218 (KY) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 0001179608 (VA) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 0024168171 (VA) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 33501 (TN) |
Record details
| NPI number | 1235378605 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNA |
| Sole proprietor | No |
| NPI enumerated | February 9, 2009 |
| Last updated in NPPES | August 2, 2023 |
| Certification date | August 2, 2023 |
| Mailing address | Po Box 432, Pikeville, KY 41502-0432 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Pikeville Medical Center Inc — 428 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Pikeville
-
Laura Tackett, RN
119 River Dr, Pikeville, KY 41501-1685 · (606) 437-5500
-
Rhonda Thacker, RN
119 River Dr, Pikeville, KY 41501-1685 · (606) 437-5500
-
Machea Thomas, RN
119 River Dr, Pikeville, KY 41501-1685 · (606) 437-5500
-
Ashley Tilley, RN
119 River Dr, Pikeville, KY 41501-1685 · (606) 437-5500
-
Shelia Wright, RN
119 River Dr, Pikeville, KY 41501-1685 · (606) 437-5500