TENNESSEE ANESTHESIOLOGY LLC
NPI 1619265550
Nurse Anesthetist, Certified Registered in Kingsport, TN
NPI Status: Active since July 13, 2011
Contact Information
2204 PAVILION DR
SUITE 105
KINGSPORT, TN
ZIP 37660
Phone: (423) 392-0344
Fax: (423) 392-6159
- Organization
- Nurse Anesthetist, Certified Registered
- CLIA Number: 44D2257667
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 04-07-2026
About TENNESSEE ANESTHESIOLOGY LLC
This page provides the complete NPI Profile along with additional information for Tennessee Anesthesiology Llc, a provider established in Kingsport, Tennessee operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1619265550 assigned on July 2011. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Penny Leigh Lloyd (Administration)
- NPI
- 1619265550
- Provider Name
- TENNESSEE ANESTHESIOLOGY LLC
- Entity Type
- Organization
- Location Address
- 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660
- Location Phone
- (423) 392-0344
- Location Fax
- (423) 392-6159
- Mailing Address
- 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660
- Mailing Phone
- (423) 392-6100
- Mailing Fax
- (423) 392-6159
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-13-2011
- Last Update Date
- 11-28-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1525088 | MEDICAID (05) | TN | |
| 4306528 | OTHER (01) | TN | BCBSTN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2257667
- Facility Type
- Pharmacy
- Certificate Effective Date
- April 08, 2024
- Certificate Expiration Date
- April 07, 2026
- Laboratory Director
- ZEBUAL RHODES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tennessee Anesthesiology Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 2 | 6 | 5 | 5 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 4 | 6 | 10 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 4 + 6 + 1 + 0 + 5 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1619265550 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932180106 | MARISSA K DAVIS CRNA Individual | Nurse Anesthetist, Certified Registered | 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660 (423) 392-6343 |
| 1538134895 | ANITA ARMARAM ALWANI MD Individual | Internal Medicine | 2204 PAVILION DR 200 KINGSPORT, TN 37660 (423) 246-0703 |
| 1851585517 | ROBERT W SILMON JR. MD Individual | Family Medicine | 2204 PAVILION DR SUITE 310 KINGSPORT, TN 37660 (423) 224-3900 |
| 1902088644 | DR. JAMES W DENHAM M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2204 PAVILION DR KINGSPORT, TN 37660 (423) 392-6343 |
| 1265763668 | MRS. LAUREN AMBROSIA DALEY NP Individual | Nurse Practitioner | 2204 PAVILION DR SUITE 108 KINGSPORT, TN 37660 (423) 392-6100 |
| 1396049938 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION Organization | Pediatrics | 2204 PAVILION DR SUITE 210 KINGSPORT, TN 37660 (423) 224-3933 |
| 1518289206 | JAMES BRADLEY GAITHER CRNA Individual | Nurse Anesthetist, Certified Registered | 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660 (423) 392-6343 |
| 1730149790 | SHARI K RAJOO MD Individual | Family Medicine | 2204 PAVILION DR SUITE 310 KINGSPORT, TN 37660 (423) 224-3900 |
| 1518031442 | WILLIAM J STEPTOE MD Individual | Internal Medicine | 2204 PAVILION DR SUITE 310 KINGSPORT, TN 37660 (423) 224-3900 |
| 1720468200 | MOUNTAIN STATES HEALTH ALLIANCE Organization | General Acute Care Hospital | 2204 PAVILION DR SUITE 115 KINGSPORT, TN 37660 (423) 857-6777 |
| 1730401209 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION Organization | Family Medicine | 2204 PAVILION DR SUITE 310 KINGSPORT, TN 37660 (423) 224-3900 |
| 1306807979 | KELLY G MCQUEEN DO Individual | Family Medicine | 2204 PAVILION DR SUITE 310 KINGSPORT, TN 37660 (423) 224-3900 |
| 1245226737 | REBECCA JANE HAMILTON NP Individual | Nurse Practitioner | 2204 PAVILION DR SUITE 108 KINGSPORT, TN 37660 (423) 392-6100 |
| 1073638722 | MS. JOANNE RICE CRNA Individual | Nurse Anesthetist, Certified Registered | 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660 (423) 392-6100 |
| 1568703437 | LAUREN SULLIVAN PHARMD Individual | Pharmacist | 2204 PAVILION DR SUITE 105 KINGSPORT, TN 37660 (423) 392-6109 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619265550, enumerated in the NPI registry as an "organization" on July 13, 2011
The provider is located at 2204 Pavilion Dr Suite 105 Kingsport, Tn 37660 and the phone number is (423) 392-0344
This medical organization specializes in Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 44D2257667 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 13, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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