Active NPI
Stacye Jeter, APN
- Certified Registered Nurse Anesthetist
- Paris, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0000012607
- Practice address
- 301 Tyson Ave
Paris, TN 38242-4544 - Phone
- (731) 644-1220
- NPI assigned
- Apr 13, 2007
- Last updated
- May 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0000012607 | TN | Primary |
Addresses
Primary practice location
301 Tyson Ave
Paris, TN 38242-4544
Mailing address
301 Tyson Avenue
Paris, TN 38242
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, 2011
- 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
80 Humphreys Ctr Dr
Suite 310
Memphis, TN 38120-2361
Phone (901) 747-3370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000012607 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry County Medical Center | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Tennessee Healthcare Henry County | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry County Medical Center | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Lifelinc Anesthesia VIII PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Tennessee, PLLC | Current | Accepting new patients | |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
80 Humphreys Center Dr
Ste 310
Memphis, TN 38120
Phone (901) 474-3370
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
- https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/
Organizations & group practices 8
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.
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-
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- NPI 1679265052
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Paris, TN
- NPI 1073765475
-
- Anesthesiology Physician
- McMinnville, TN
- NPI 1821390451
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
dba Medical Arts Rural Health Clinic
- Rural Health Clinic/Center
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- NPI 1588275317
-
dba Anesthesia
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Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1205050770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 TYSON AVENUE",
"city": "PARIS",
"state": "TN",
"postal_code": "38242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 TYSON AVE",
"city": "PARIS",
"state": "TN",
"postal_code": "382424544",
"telephone_number": "731-644-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETER",
"first_name": "STACYE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "0000012607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.