Active NPI
Carrie E Linebaugh, CRNA
- Certified Registered Nurse Anesthetist
- Knoxville, TN
National Provider Identifier
1174596464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 040219
- Practice address
- 1924 Alcoa Hwy
U109
Knoxville, TN 37920-1511 - Phone
- (865) 305-9220
- NPI assigned
- Feb 8, 2006
- 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 | RN55870 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 040219 | TN | Primary |
Addresses
Primary practice location
1924 Alcoa Hwy
U109
Knoxville, TN 37920-1511
Mailing address
341 Trane Dr
Knoxville, TN 37919-6053
Phone (865) 588-0880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN55870 | Other | TN | RN LICENSE |
| 040219 | Other | TN | CRNA LICENSE |
| APN9164 | Other | TN | ADVANCE PRACTICE NURSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN55870 | TN | MD | Registered Nurse |
| 40219 | TN | MD | Internal Medicine Physician |
| 040219 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesiologists, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesiologists, PLLC | Past | Accepting new patients |
Locations
341 Trane Dr
Knoxville, TN 37919
Phone (865) 588-0880
1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220
Organizations & group practices 2
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
- Knoxville, TN
- NPI 1073619466
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1558479279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1174596464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 TRANE DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379196053",
"telephone_number": "865-588-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"address_2": "U109",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINEBAUGH",
"first_name": "CARRIE",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN55870",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "040219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN55870",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA LICENSE",
"identifier": "040219",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCE PRACTICE NURSE",
"identifier": "APN9164",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.