Active NPI
Mark Amonett, CRNA
- Certified Registered Nurse Anesthetist
- Nashville, TN
National Provider Identifier
1194724757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN0000010560
- Practice address
- 1310 24TH Ave South
Nashville, TN 37212-2637 - Phone
- (615) 327-5390
- Fax
- (615) 321-6359
- NPI assigned
- Jul 18, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 049658 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | APN0000010560 | TN | Primary |
Addresses
Primary practice location
1310 24TH Ave South
Nashville, TN 37212-2637
Mailing address
1301 Stratford Ave
Nashville, TN 37216
Phone (615) 226-5047
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3627617 | Medicaid | TN | |
| 3111785 | Other | TN | BCBS NUMBER |
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 |
|---|---|---|---|
| 049658 | TN | MD | Certified Registered Nurse Anesthetist |
| APN0000010560 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novamed Management Services LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Novamed Management Services LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atlanta Eye Surgery Center
- Certified Registered Nurse Anesthetist
- Atlanta, GA
- NPI 1457344707
Nurse Anesthetist, Certified Registered
-
dba Atlanta Eye Surgery Center
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1992708929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194724757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 STRATFORD AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37216",
"telephone_number": "615-226-5047",
"fax_number": "615-321-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE SOUTH",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122637",
"telephone_number": "615-327-5390",
"fax_number": "615-321-6359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMONETT",
"first_name": "MARK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "049658",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN0000010560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3627617",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "3111785",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.