Active NPI
Timothy L Robinson, CRNA
- Certified Registered Nurse Anesthetist
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 15036
- Practice address
- 1900 Exeter Rd
Suite 210
Germantown, TN 38138-2954 - Phone
- (901) 818-2160
- Fax
- (901) 682-9522
- NPI assigned
- Mar 31, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | R369558 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | 15036 | TN | Primary |
Addresses
Primary practice location
1900 Exeter Rd
Suite 210
Germantown, TN 38138-2954
Mailing address
1900 Exeter Rd
Suite 210
Germantown, TN 38138-2954
Phone (901) 818-2183
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194040337 | Other | TN | CHAMPUS/HUMANA TRICARE |
| 4265856 | Other | TN | BLUE CROSS |
| 04134808 | Medicaid | MS | |
| 1521306 | Medicaid | TN | |
| 186246001 | Medicaid | AR | |
| P00886622 | Other | TN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
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
Practice addresses (Care Compare)
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000
6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (904) 227-9000
9300 Park W Blvd
Knoxville, TN 37923-4301
Phone (865) 546-8040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R369558 | MS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients |
Locations
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1194040337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 EXETER RD",
"address_2": "SUITE 210",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382954",
"telephone_number": "901-818-2183",
"fax_number": "901-682-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 EXETER RD",
"address_2": "SUITE 210",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382954",
"telephone_number": "901-818-2160",
"fax_number": "901-682-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TIMOTHY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-31",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "R369558",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "15036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/HUMANA TRICARE",
"identifier": "1194040337",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4265856",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04134808",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521306",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186246001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00886622",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.