Individual provider Active NPI

Jason H Levoy, CRNA

  • Certified Registered Nurse Anesthetist
  • Livingston, TN
National Provider Identifier
1114001682
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN9942 Issued in TN
Practice address
315 Oak St
Livingston, TN 38570-1728
Phone
(931) 823-5611
NPI assigned
Oct 24, 2006
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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 APN9942 TN Primary
Registered Nurse 163W00000X RN100414 TN

Addresses

Primary practice location

315 Oak St
Livingston, TN 38570-1728

Mailing address

PO Box 440246
Nashville, TN 37244-0246
Phone (615) 620-2320

Other identifiers 3

IdentifierTypeStateIssuer
74003542MedicaidKY
3629425MedicaidTN
4111072OtherTNBC/BS OF TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051116000089 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577582162 Reassigns benefits to 1 organization
I20170306000048 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577582162 Reassigns benefits to 1 organization
I20170726003758 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577582162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-3839

185 Hospital Rd
Winchester, TN 37398-2404
Phone (931) 967-8200

6801 Gov GC Peery Hwy
Richlands, VA 24641-2194
Phone (276) 596-6000

8 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 210-2020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN100414TNMDRegistered Nurse
9942TNMDPhysical Therapist
APN9942TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Regional Hospital LLC Past Accepting new patients
Cumberland Anesthesia Group LLC Past Accepting new patients

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.

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1114001682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440246",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440246",
            "telephone_number": "615-620-2320",
            "fax_number": "615-620-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 OAK ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701728",
            "telephone_number": "931-823-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVOY",
        "first_name": "JASON",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN9942",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN100414",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74003542",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3629425",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TN",
            "identifier": "4111072",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.