Active NPI
Bethany Kossick Seale, CRNA
- Certified Registered Nurse Anesthetist
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 17975
- Practice address
- 130 W Ravine Rd
Kingsport, TN 37660-3837 - Phone
- (423) 224-5711
- NPI assigned
- Oct 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 17975 | TN | Primary |
Addresses
Primary practice location
130 W Ravine Rd
Kingsport, TN 37660-3837
Mailing address
105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Bristol W Blvd
Suite 1a
Bristol, TN 37620-8773
Phone (423) 639-0941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Advanced Anesthesia Solutions Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Meadowview ASC, LLC | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
320 Bristol West Blvd
Ste 1A
Bristol, TN 37620
Phone (423) 758-1030
10425 Wallace Alley St
Kingsport, TN 37663
Phone (423) 282-9011
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Stone Dr
Kingsport, TN 37660
2033 Meadowview Ln
Ste 210
Kingsport, TN 37660
Phone (423) 343-7820
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Dept 888618
Knoxville, TN 37995
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Bristol, TN
- NPI 1164772109
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Ambulatory Surgical Clinic/Center
- Kingsport, TN
- NPI 1629536826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1053748863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W STONE DR",
"address_2": "SUITE 6A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603365",
"telephone_number": "423-408-7720",
"fax_number": "423-408-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W RAVINE RD",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603837",
"telephone_number": "423-224-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEALE",
"first_name": "BETHANY",
"middle_name": "KOSSICK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-11",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "17975",
"primary": true
}
],
"identifiers": [],
"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 Oct 20, 2014; 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.