Active NPI
Lawrence A Epps, CRNA
- Certified Registered Nurse Anesthetist
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9430
- Practice address
- 100 W 4TH St
Suite 310
Cookeville, TN 38501-2448 - Phone
- (931) 528-7877
- Fax
- (931) 526-3261
- NPI assigned
- Sep 13, 2005
- Last updated
- Jul 13, 2010
- Sex
- Male
- 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 | 9430 | TN | Primary |
Addresses
Primary practice location
100 W 4TH St
Suite 310
Cookeville, TN 38501-2448
Mailing address
100 W 4TH St
Suite 310
Cookeville, TN 38501-2448
Phone (931) 528-7877
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430008411 | Other | TN | MEDICARE RAILROAD |
| 3602216 | Medicaid | TN | |
| 126646 | Other | TN | BCBS |
| 74393406 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9430 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stage Two Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Genesis Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eye Center of Nashville Uap, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nashville Vascular and Vein Institute, PLLC | Current | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
1059 Neal St
Ste B
Cookeville, TN 38501
Phone (931) 646-7058
79 Fairfield Blvd
Crossville, TN 38558
Phone (931) 484-3344
310 25th Ave N
Ste 105
Nashville, TN 37203
Phone (615) 329-9023
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1538567375
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Cookeville, TN
- NPI 1316236367
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1063709392
Nurse Anesthetist, Certified Registered
-
- Vascular Surgery Physician
- Nashville, TN
- NPI 1730501677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1063407401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 4TH ST",
"address_2": "SUITE 310",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012448",
"telephone_number": "931-528-7877",
"fax_number": "931-526-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 4TH ST",
"address_2": "SUITE 310",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012448",
"telephone_number": "931-528-7877",
"fax_number": "931-526-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPS",
"first_name": "LAWRENCE",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "9430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "430008411",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3602216",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "126646",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74393406",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.