Individual provider Active NPI

Sharon Renee Wyatt

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
National Provider Identifier
1215102959
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
88764 Issued in TN
Practice address
341 Trane Dr
Knoxville, TN 37919-6053
Phone
(865) 588-0880
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 88764 TN Primary

Addresses

Primary practice location

341 Trane Dr
Knoxville, TN 37919-6053

Mailing address

341 Trane Dr
Knoxville, TN 37919-6053

Other identifiers 1

IdentifierTypeStateIssuer
1509614MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081206000105 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577624709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milligan Surgical ClinicGroup PAC ID 7911190707, 4 clinicians

Practice addresses (Care Compare)

1919 Pinnacle Point Way
Knoxville, TN 37922-6701
Phone (865) 347-2960

1934 Alcoa Hwy
Suite 280
Knoxville, TN 37920-1530
Phone (865) 305-8684

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88764TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Milligan Surgical Clinic CurrentSince Jul 1, 2023 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 18, 2008 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

2850 Westside Dr NW
Ste B
Cleveland, TN 37312
Phone (423) 961-5682

1720 West Ave
Ste 101
Crossville, TN 38555
Phone (931) 707-5299

1919 Pinnacle Pointe Way
Knoxville, TN 37922
Phone (865) 347-2960

341 Trane Dr
Knoxville, TN 37919
Phone (865) 588-0880

1934 Alcoa Hwy
Ste 280
Knoxville, TN 37920
Phone (865) 305-8684

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

1907 W Morris Blvd
Ste A400
Morristown, TN 37813
Phone (423) 587-7144

Organizations & group practices 3

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1215102959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 TRANE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 TRANE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196053",
            "telephone_number": "865-588-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "SHARON",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "88764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.