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

Individual provider Certified Registered Nurse Anesthetist · NPI 1508048737

Shannon M Kidd, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Marietta, Ohio. Qualified in 2007, 19 years ago. Practices with Phs Anesthesia Billing, LLC, a 239-clinician group and accepts Medicare assignment. Licensed in Ohio and West Virginia.

Years since qualifying
19
Licensed in
OH, WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

401 Matthew St
Marietta, OH 45750-1635
Phone: (740) 374-9990
Fax: (740) 374-9993
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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 COA.11504.NA (OH)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 60137 (WV)

Record details

NPI number1508048737
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedNovember 29, 2007
Last updated in NPPESMarch 6, 2017

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Phs Anesthesia Billing, Llc — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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