Individual provider Active NPI

Katherine A Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Kingsport, TN
National Provider Identifier
1053402172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
144686 Issued in TN
Practice address
2000 Brookside Dr
Kingsport, TN 37660-4627
Phone
(423) 857-7144
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 144686 TN Primary

Addresses

Primary practice location

2000 Brookside Dr
Kingsport, TN 37660-4627

Mailing address

401 Hidden Acres Rd
Kingsport, TN 37664-5668
Phone (423) 349-6456

Other identifiers 1

IdentifierTypeStateIssuer
3633474MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040816001021 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991781197 Reassigns benefits to 5 organizations
I20260211001499 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991781197 Reassigns benefits to 1 organization
I20260220001126 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991781197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Duke University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Northeast Tennessee Anesthesia, PLLCGroup PAC ID 2163697996, 7 clinicians
Smokey Mountain Anesthesia PCGroup PAC ID 0749194363, 9 clinicians

Practice addresses (Care Compare)

103 W Stone Dr
Kingsport, TN 37660-3220
Phone (423) 224-4910

10461 Wallace Alley St
Kingsport, TN 37663-3936
Phone (423) 279-1414

110 Med Tech Pkwy
Johnson City, TN 37604-4004
Phone (423) 639-0941

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (828) 456-7311

391 Serpentine Dr
Suite 200
Spartanburg, SC 29303-3079
Phone (864) 585-2002

Hospital & facility affiliations

  • Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8094NCMDGeneral Practice Dentistry
10953TNMDGeneral Practice Dentistry
144686TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 28, 2025 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Nov 1, 2025 Accepting new patients
Gastroenterology Associates CurrentSince Mar 1, 2021 Accepting new patients
Northeast Tennessee Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2015 Accepting new patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Gastroenterology Associates CurrentSince Mar 1, 2021 Accepting new patients
Smokey Mountain Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Singing River Health System Past Accepting new patients
Premier Anesthesia Services PC Past Accepting new patients
John T Goodsell DO PC Gregory Linderer MD LTD PastSince Nov 18, 2009 Accepting new patients

Locations

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381

320 Bristol West Blvd
Ste 1A
Bristol, TN 37620
Phone (423) 758-1030

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

110 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 722-0340

135 W Ravine Rd
Ste 3-A
Kingsport, TN 37660
Phone (423) 246-6777

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

103 W Stone Dr
Kingsport, TN 37660
Phone (423) 224-4050

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

10461 Wallace Alley St
Kingsport, TN 37663
Phone (423) 279-1400

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053402172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HIDDEN ACRES RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376645668",
            "telephone_number": "423-349-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BROOKSIDE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604627",
            "telephone_number": "423-857-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "144686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3633474",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.