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

Shelley J Kudialis, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1265562144

Shelley J Kudialis, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Johnson City, Tennessee. Qualified in 1994, 32 years ago. Practices with Anesthesia Dynamics LLC, a 880-clinician group and accepts Medicare assignment. Licensed in Florida and Tennessee.

Years since qualifying
32
Licensed in
FL, TN
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

1114 Sunset Dr Ste 4
Johnson City, TN 37604-2969
Phone: (423) 283-0776
Fax: (423) 283-0549
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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 RN0000158056 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence APRN9387933 (FL)

Record details

NPI number1265562144
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESOctober 29, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Anesthesia Dynamics Llc — 880 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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