Individual provider Active NPI

Alicia Richardson McCampbell, CRNA

  • Certified Registered Nurse Anesthetist
  • Morristown, TN
National Provider Identifier
1003134966
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
16110 Issued in TN
Practice address
1030 Rhett Cir
Morristown, TN 37814-1676
Phone
(423) 312-9056
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN0000101594 TN
Certified Registered Nurse Anesthetist 367500000X 16110 TN Primary

Addresses

Primary practice location

1030 Rhett Cir
Morristown, TN 37814-1676

Mailing address

1027 E Main St
Morristown, TN 37814-6632
Phone (423) 581-5984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110923000418 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254502271 Reassigns benefits to 5 organizations
I20221114001833 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254502271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Anesthesia PLLCGroup PAC ID 9830509686, 19 clinicians

Practice addresses (Care Compare)

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
16110TNMDCertified Registered Nurse Anesthetist
RN0000101594TNMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Ophthalmology ASC, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2022 Accepting new patients
King'S Daughters Medical Specialties, Inc. CurrentSince Aug 28, 2023 Accepting new patients
Covenant Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 28, 2023 Accepting new patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
Covenant Anesthesia Group, PC CurrentSince Sep 1, 2025 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

Dept 888089
Knoxville, TN 37995

1124 E Weisgarber Rd
Ste 110
Knoxville, TN 37909
Phone (865) 588-1037

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

6242 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 690-3250

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1003134966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 E MAIN ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378146632",
            "telephone_number": "423-581-5984",
            "fax_number": "423-581-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 RHETT CIR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141676",
            "telephone_number": "423-312-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAMPBELL",
        "first_name": "ALICIA",
        "middle_name": "RICHARDSON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": "RN0000101594",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "16110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.