Individual provider Active NPI

Todd B Nidiffer, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
National Provider Identifier
1215127188
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
132550 Issued in TN
Practice address
341 Trane Dr
Knoxville, TN 37919-6053
Phone
(865) 588-0880
Fax
(865) 584-3111
NPI assigned
Jul 27, 2007
Last updated
Mar 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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 132550 TN Primary

Addresses

Primary practice location

341 Trane Dr
Knoxville, TN 37919-6053

Mailing address

1924 Alcoa Hwy
Box U109
Knoxville, TN 37920-1511
Phone (865) 305-9220

Other identifiers 1

IdentifierTypeStateIssuer
132550OtherTNRN LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000357 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557442381 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resource Anesthesia, P.C.Group PAC ID 1254228141, 71 clinicians

Practice addresses (Care Compare)

550 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (888) 854-3822

560 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6040

919 E Central Ave
Lafollette, TN 37766-2055
Phone (888) 854-3822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132550TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2015 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2008 Accepting new patients
Foothills Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2018 Accepting new patients
Knoxville Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 4, 2019 Accepting new patients
Covenant Anesthesia Group, PC CurrentSince Dec 5, 2018 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

11440 Parkside Dr
Ste 100
Knoxville, TN 37934
Phone (865) 622-3442

12752 Kingston Pike
Ste E202
Knoxville, TN 37934
Phone (877) 277-9030

1311 Dowell Springs Blvd
Ste 100
Knoxville, TN 37909

1600 Accelerator Way
Ste 100
Knoxville, TN 37920
Phone (865) 264-3404

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

256 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (865) 244-4580

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

Dept 888089
Knoxville, TN 37995

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

1706 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 983-0073

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1215127188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "BOX U109",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9220"
        },
        {
            "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",
            "fax_number": "865-584-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDIFFER",
        "first_name": "TODD",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "132550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "132550",
            "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 Mar 24, 2008; 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.