Individual provider Active NPI

Joanne Rice, CRNA

  • Certified Registered Nurse Anesthetist
  • Kingsport, TN
National Provider Identifier
1073638722
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9077 Issued in TN
Practice address
2204 Pavilion Dr
Suite 105
Kingsport, TN 37660-4657
Phone
(423) 392-6100
Fax
(423) 392-6159
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 50716 TN
Certified Registered Nurse Anesthetist 367500000X 9077 TN Primary

Addresses

Primary practice location

2204 Pavilion Dr
Suite 105
Kingsport, TN 37660-4657

Mailing address

2204 Pavilion Dr Ste 105
Kingsport, TN 37660-4651
Phone (423) 392-6100

Other identifiers 1

IdentifierTypeStateIssuer
1508912MedicaidTN

Other names 1

  • Laura Joanne Rice Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sullivandigestivecenter@directaddress.net Direct Endoscopy Center of Kingsport

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000182 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042378721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2204 Pavilion Dr
Suite 105
Kingsport, TN 37660-4651
Phone 42339261006343

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2012 Accepting new patients
Anesthesia Consultants of Knoxville, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
American Anesthesiology of Tennessee, P.C. Past Accepting new patients
Hamblen Anesthesia PC Nurse Anesthetist, Certified Registered PastSince Mar 13, 1995 Accepting new patients

Locations

2204 Pavilion Dr
Ste 108
Kingsport, TN 37660
Phone (423) 392-6100

2204 Pavilion Dr
Kingsport, TN 37660
Phone (423) 392-6100

2204 Pavilion Dr
Ste 105
Kingsport, TN 37660
Phone (423) 392-6100

Interoperability endpoints

  • Direct secure messaging: sullivandigestivecenter@directaddress.net

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1073638722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 PAVILION DR STE 105",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604651",
            "telephone_number": "423-392-6100",
            "fax_number": "423-392-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PAVILION DR",
            "address_2": "SUITE 105",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604657",
            "telephone_number": "423-392-6100",
            "fax_number": "423-392-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "50716",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "9077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508912",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sullivandigestivecenter@directaddress.net",
            "affiliation": "Y",
            "endpointDescription": "Direct Message",
            "affiliationName": "Endoscopy Center of Kingsport",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2204 Pavilion Dr Ste 108",
            "city": "Kingsport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376604651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "RICE",
            "middle_name": "JOANNE",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 10, 2023; 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.