Active NPI
Sharon Renee Wyatt
- Certified Registered Nurse Anesthetist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 88764
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1509614 | Medicaid | TN |
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 88764 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milligan Surgical Clinic | Current | Accepting new patients | |
| University Anesthesiologists, PLLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Surgery Physician
- Crossville, TN
- NPI 1265746978
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1073619466
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1558479279
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
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.