Active NPI
Kerry J Parker, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN17904
- Practice address
- 975 E 3Rd St
Chattanooga, TN 37403-2147 - Phone
- (423) 778-7608
- Fax
- (423) 778-2360
- NPI assigned
- Aug 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN179497 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | APN17904 | TN | Primary |
Addresses
Primary practice location
975 E 3Rd St
Chattanooga, TN 37403-2147
Mailing address
PO Box 11225
Chattanooga, TN 37401-2225
Phone (423) 892-5602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
Enrollment records 2
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)
1200 16TH Ave
Meridian, MS 39301-4209
Phone (601) 485-6325
1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700
2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181
3340 Players Blub Pkwy
Memphis, TN 38125-8949
Phone (901) 844-1590
634 Leigh Dr
Columbus, MS 39705-3014
Phone (866) 362-6963
Hospital & facility affiliations
- Ochsner Rush Hospital
- Anderson Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN179497 | TN | MD | Registered Nurse |
| 903085 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Meridian Anesthesiology Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| QHG of Hattiesburg Inc | Past | Accepting new patients |
Locations
634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393
5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
1200 16th Ave
Meridian, MS 39301
Phone (601) 703-1901
499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979
2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
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.
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
MS, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Meridian, MS
- NPI 1609820539
-
- Anesthesiology Physician
- Meridian, MS
- NPI 1639181019
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
-
- Emergency Medical Services (Emergency Medicine) Physician
- Hattiesburg, MS
- NPI 1326032400
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meridian, MS
- NPI 1649226952
-
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1083046734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11225",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374012225",
"telephone_number": "423-892-5602",
"fax_number": "423-892-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E 3RD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032147",
"telephone_number": "423-778-7608",
"fax_number": "423-778-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "KERRY",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN179497",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN17904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.