Individual provider Active NPI

Cristin Camille Coleman, CRNA

  • Certified Registered Nurse Anesthetist
  • Falls Church, VA
National Provider Identifier
1063888378
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
20936 Issued in TN
Practice address
3300 Gallows Rd
Falls Church, VA 22042
Phone
(703) 776-3138
Fax
(703) 776-2623
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000177206 TN
Certified Registered Nurse Anesthetist 367500000X 0024172961 VA
Certified Registered Nurse Anesthetist 367500000X 20936 TN Primary

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042

Mailing address

3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (919) 882-0705

Other practice location 1

1819 Clinch Ave
Knoxville, TN 37916-2434
Phone (865) 522-2949

Other practice location 2

210 Fort Sanders West Blvd
Knoxville, TN 37922-3355
Phone (865) 531-5200

Other practice location 3

1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 541-1111

Other practice location 4

256 Fort Sanders West Blvd
Knoxville, TN 37922-3355
Phone (865) 244-4580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160509001656 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678883741 Reassigns benefits to 4 organizations
I20250506001859 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678883741

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy AnesthesiaGroup PAC ID 7113272634, 8 clinicians
Covenant Anesthesia Group PCGroup PAC ID 6901795830, 231 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9220

7739 Dannaher Dr
Powell, TN 37849-4049
Phone (423) 639-0941

9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1000

990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone (865) 835-3560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000177206TNMDRegistered Nurse
20936TNMDCertified Registered Nurse Anesthetist
0024172961VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2020 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Apr 1, 2016 Accepting new patients
Legacy Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Covenant Anesthesia Group, PC CurrentSince Jan 5, 2026 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

Dept 888089
Knoxville, TN 37995

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

256 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (865) 244-4580

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

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

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

7739 Dannaher Dr
Powell, TN 37849
Phone (865) 339-4200

Organizations & group practices 6

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 2

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1063888378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-882-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22042",
            "telephone_number": "703-776-3138",
            "fax_number": "703-776-2623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1819 Clinch Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162434",
            "country_code": "US",
            "telephone_number": "865-522-2949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Fort Sanders West Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223355",
            "country_code": "US",
            "telephone_number": "865-531-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Clinch Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162307",
            "country_code": "US",
            "telephone_number": "865-541-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "256 Fort Sanders West Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223355",
            "country_code": "US",
            "telephone_number": "865-244-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CRISTIN",
        "middle_name": "CAMILLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000177206",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024172961",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "20936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.