Individual provider Active NPI

Nicole Cutshaw Beaven, CRNA

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
National Provider Identifier
1194098608
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3007323 Issued in KY
Practice address
310 S Limestone
Lexington, KY 40508-3008
Phone
(859) 252-6612
NPI assigned
Feb 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 22652 TN
Certified Registered Nurse Anesthetist 367500000X 3007323 KY Primary

Addresses

Primary practice location

310 S Limestone
Lexington, KY 40508-3008

Mailing address

425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030

Other identifiers 1

IdentifierTypeStateIssuer
7100193560MedicaidKY

Other names 1

  • Nicole P. Sawyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180613001455 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193984995 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Gastroenterology Anesthesia Associates, LLCGroup PAC ID 8325357155, 7 clinicians
University Anesthesiologists, PLLCGroup PAC ID 8921097197, 150 clinicians

Practice addresses (Care Compare)

1311 Dowell Springs Blvd
Knoxville, TN 37909-2454
Phone (865) 588-2121

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9220

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 26, 2024 Accepting new patients
Knoxville Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2024 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2018 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 23, 2020 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Oct 23, 2020 Accepting new patients
Pcet Surgery Center LLC CurrentSince Aug 16, 2024 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

1311 Dowell Springs Blvd
Knoxville, TN 37909
Phone 86558851211606

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

1540 Member Ln
Ste 110
Knoxville, TN 37909
Phone (865) 934-2575

10800 Parkside Dr
Ste 101
Knoxville, TN 37934
Phone (865) 218-7600

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

629 Delozier Way
#100
Powell, TN 37849
Phone (865) 622-3442

Organizations & group practices 7

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.

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": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1194098608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEWIS HARGETT CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033590",
            "telephone_number": "859-268-1030",
            "fax_number": "859-269-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083008",
            "telephone_number": "859-252-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVEN",
        "first_name": "NICOLE",
        "middle_name": "CUTSHAW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "22652",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3007323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100193560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SAWYER",
            "middle_name": "P.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.

Verify at the official NPI Registry.