Active NPI
Tyler Henderson Knowles, CRNA
- Certified Registered Nurse Anesthetist
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 005454
- Practice address
- 2100 Erwin Rd
Durham, NC 27705-3941 - Phone
- (919) 668-0289
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 244227 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 005454 | NC | Primary |
Addresses
Primary practice location
2100 Erwin Rd
Durham, NC 27705-3941
Mailing address
1423 Brooks Ave
Raleigh, NC 27607-3705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160831002419 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5395031272 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Anesthesiology of North Carolina PLLC
Practice addresses (Care Compare)
3100 Spring Forest Rd
Suite 130
Raleigh, NC 27616-2880
Phone (919) 873-9533
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone (919) 873-9533
Hospital & facility affiliations
- Rex Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005454 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Duke University Health System, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Regional Anesthesia, PLLC | Current | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
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.
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Anesthesiology, NC
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
NC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1033412267
-
- Pain Medicine (Anesthesiology) Physician
- Monroe, NC
- NPI 1174817993
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
Hospital & facility affiliations 1
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": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1134579147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 BROOKS AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276073705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053941",
"telephone_number": "919-668-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "TYLER",
"middle_name": "HENDERSON",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-21",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "244227",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "005454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.