Individual provider Active NPI

Jessica Lee Glass, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, TN
National Provider Identifier
1013903921
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3993A Issued in KY
Practice address
709 Cheatham St
Springfield, TN 37172-2828
Phone
(615) 212-0082
NPI assigned
Sep 26, 2005
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3993A KY Primary

Addresses

Primary practice location

709 Cheatham St
Springfield, TN 37172-2828

Mailing address

709 Cheatham St
Springfield, TN 37172-2828
Phone (615) 212-0082

Other identifiers 2

IdentifierTypeStateIssuer
74000613MedicaidKY
4205845OtherTNBLUE CROSS BLUE SHIELD OF TENNESSEE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070625000436 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800842220 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sda Consultants PLLCGroup PAC ID 3870825912, 76 clinicians
Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians
Cardiovascular Anesthesiologists PCGroup PAC ID 4688571045, 142 clinicians
Anesthesia Partners of Gallatin, LLCGroup PAC ID 3072822972, 2 clinicians

Practice addresses (Care Compare)

101 Physicians Way
Suite 114
Lebanon, TN 37090-8134
Phone (615) 784-4231

28 White Bridge Pike
Suite 111
Nashville, TN 37205-1466
Phone (615) 356-3999

28 White Bridge Rd
Suite 210
Nashville, TN 37205-1467
Phone (615) 352-3000

300 Great Circle Rd
Nashville, TN 37228-1752
Phone (615) 338-9077

4230 Harding Pike
Suite 435
Nashville, TN 37205-4900
Phone (615) 385-3704

4601 Carothers Pkwy
Suite 375
Franklin, TN 37067-6000
Phone (615) 791-4790

890 N Blue Jay Way
Gallatin, TN 37066
Phone (615) 575-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10041TNMDPhysical Therapist
3993AKYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners of Gallatin, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2015 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 26, 2024 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Franklin Endo Uap, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2020 Accepting new patients
Nashville Gastrointestinal Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2015 Accepting new patients
Cardiovascular Anesthesiologists PC Nurse Anesthetist, Certified Registered CurrentSince Aug 19, 2024 Accepting new patients
Forefront Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Patient Partners LLC Past Accepting new patients
Nashville Anesthesia Specialists, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011

5801 Crossings Blvd
Antioch, TN 37013
Phone (615) 885-0909

1805 Williamson Ct
Ste 200
Brentwood, TN 37027
Phone (615) 331-5536

280 Warfield Blvd
Clarksville, TN 37043
Phone (931) 551-9605

9160 Carothers Pkwy
Ste 100
Franklin, TN 37067
Phone (615) 446-1915

890 N Bluejay Way
Gallatin, TN 37066
Phone (615) 329-9212

105 Glen Oak Blvd
Hendersonville, TN 37075
Phone (615) 822-2177

353 New Shackle Island Rd
Ste 122B
Hendersonvlle, TN 37075
Phone (615) 822-2400

101 Physicians Way
Ste 114
Lebanon, TN 37090
Phone (615) 784-4231

2010 Church St
Ste 420
Nashville, TN 37203
Phone (615) 329-2141

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

28 White Bridge Pike
Ste 210
Nashville, TN 37205
Phone (615) 352-3000

300 Great Circle Rd
Nashville, TN 37228
Phone (615) 338-9017

4230 Harding Pike
Ste 435
Nashville, TN 37205
Phone (615) 385-3704

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1013903921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 CHEATHAM ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722828",
            "telephone_number": "615-212-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 CHEATHAM ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722828",
            "telephone_number": "615-212-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3993A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74000613",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "4205845",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.