Active NPI
Marcie L Bledsoe, CRNA
- Certified Registered Nurse Anesthetist
- Tazewell, TN
National Provider Identifier
1144528894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 15584
- Practice address
- 1850 Old Knoxville Rd
Tazewell, TN 37879-3625 - Phone
- (423) 626-4211
- NPI assigned
- Mar 4, 2011
- Last updated
- Mar 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 15584 | TN | Primary |
Addresses
Primary practice location
1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Mailing address
PO Box 252
Tazewell, TN 37879-0252
Phone (800) 204-0099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15584 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multispecialty Medical P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Tazewell, TN
- NPI 1548392491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1144528894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 252",
"city": "TAZEWELL",
"state": "TN",
"postal_code": "378790252",
"telephone_number": "800-204-0099",
"fax_number": "336-882-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 OLD KNOXVILLE RD",
"city": "TAZEWELL",
"state": "TN",
"postal_code": "378793625",
"telephone_number": "423-626-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEDSOE",
"first_name": "MARCIE",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "15584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.