Andi Marie Anderson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Memphis, TN
NPI 1174893598 · NPPES record last updated Sep 4, 2020
Key facts
- NPI
- 1174893598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 143826 (TX)
- Practice address
- 3340 Players Club Parkway
Suite 350
Memphis, TN 38125 - Phone
- (432) 967-5521
- NPI assigned
- Jan 2, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midsouth Speciality Anesthesia Services LLC
Lifelinc Anesthesia V, P.a.
Lifelinc Anesthesia PLLC
Lauderdale Community Hospital LLC
Practice addresses (Care Compare)
1750 Madison Ave
Suite 300
Memphis, TN 38104-6428
Phone (901) 390-2930
2100 N 7TH St
West Memphis, AR 72301-2017
Phone (870) 394-7800
2200 Union Ave
Memphis, TN 38104-4205
Phone (901) 274-5813
312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930
340 Asbury Ave
Ripley, TN 38063-5577
Phone (731) 221-2200
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000
Hospital & facility affiliations
- Baptist Memorial Hospital-Crittenden, Inc
- Baptist Memorial Hospital Tipton
- Lauderdale Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141009000374 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7719148311 | Reassigns benefits to 8 organizations |
| I20200929000184 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7719148311 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143826 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lauderdale Community Hospital LLC | Current |
Accepting new patients | |
| East Memphis Anesthesia Services PLC | Current |
Accepting new patients | |
| Lifelinc Anesthesia V, P.a. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Northstar Anesthesia of Tennessee, PLLC | Current |
Accepting new patients | |
| Lauderdale Community Hospital LLC | Current | Accepting new patients | |
| Lifelinc Anesthesia VIII PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Lauderdale Community Hospital LLC | Current |
Accepting new patients | |
| Phillip R. Bowden, M.D.,P.a. | Current |
Accepting new patients | |
| Midsouth Speciality Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Convienent Care Clinic | Current |
Accepting new patients | |
| Permian Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800
312 S Rhodes St
West Memphis, AR 72301
Phone (870) 733-1240
2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000
2490 Parr Ave
Ste 3
Dyersburg, TN 38024
Phone (730) 286-3008
1355 W Brierbrook Rd
Germantown, TN 38138
Phone (901) 755-8300
1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544
255 S Pauline St
Memphis, TN 38104
Phone (901) 261-2804
1750 Madison Ave
Ste 300
Memphis, TN 38104
Phone (901) 725-7025
80 Humphreys Center Dr
Ste 310
Memphis, TN 38120
Phone (901) 474-3370
1417 Monroe Ave
Memphis, TN 38104
Phone (901) 272-7200
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200
326 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200
326 Asbury Ave
Ste 104
Ripley, TN 38063
Phone (731) 221-2200
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
3301 S 14th St
Ste 16180
Abilene, TX 79605
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28227075A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 143826 | TX | Yes |
Addresses
Primary practice location
3340 Players Club Parkway
Suite 350
Memphis, TN 38125
Mailing address
PO Box 1018
Arlington, TN 38002-1018
Phone (432) 967-5521
Other practice location 1
7225 Deadfall Rd
Arlington, TN 38002
Phone (432) 967-5521
Other names
- Andi Marie Johnson
Other providers in Memphis, TN
- Steven John Anander
- Anb Senior Services
- Catherine Anderson Quinones
- Alisha Anderson
- Amelia Goodwin Anderson
- Andrae Desean Anderson
- Andrew Louis Anderson
- Anjanette Anderson
- Ashlea A Anderson
- Benneka Anderson
All providers in Memphis, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.