Individual provider Active NPI

Lacey King, CRNA

  • Certified Registered Nurse Anesthetist
  • Oak Ridge, TN
National Provider Identifier
1134438880
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP15137 Issued in TN
Practice address
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone
(865) 835-3560
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP15137 TN Primary

Addresses

Primary practice location

990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976

Mailing address

PO Box 5059
Oak Ridge, TN 37831-5059
Phone (800) 611-6713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000528 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042409153 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Gastroenterology Anesthesia Associates, LLCGroup PAC ID 8325357155, 7 clinicians
University Anesthesiologists, PLLCGroup PAC ID 8921097197, 150 clinicians

Practice addresses (Care Compare)

11440 Parkside Dr
Suite 100
Knoxville, TN 37934-2658
Phone (865) 588-5121

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15137TNMDSocial Worker
ARNP15137TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Knoxville Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 22, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 13, 2021 Accepting new patients
Covenant Anesthesia Group, PC CurrentSince Oct 30, 2010 Accepting new patients
Methodist Medical Center Past Accepting new patients
Endoscopy Center of Oak Ridge, LLC Past Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

1600 Accelerator Way
Ste 100
Knoxville, TN 37920
Phone (865) 264-3404

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

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

11440 Parkside Dr
Ste 100
Knoxville, TN 37934
Phone (865) 622-3442

Dept 888089
Knoxville, TN 37995

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

988 Oak Ridge Tpke
Ste 220
Oak Ridge, TN 37830
Phone (865) 483-4366

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

629 Delozier Way
#100
Powell, TN 37849
Phone (865) 622-3442

Organizations & group practices 8

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1134438880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5059",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378315059",
            "telephone_number": "800-611-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306976",
            "telephone_number": "865-835-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LACEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "ARNP15137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.