Individual provider Active NPI

Kimberly K Lett, CRNA

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
National Provider Identifier
1235196791
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
10602 Issued in TN
Practice address
110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Phone
(615) 327-4304
Fax
(615) 327-7940
NPI assigned
Apr 27, 2006
Last updated
Jan 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 82262 TN
Certified Registered Nurse Anesthetist 367500000X 10602 TN Primary
Certified Registered Nurse Anesthetist 367500000X 070282 NC

Addresses

Primary practice location

110 29TH Ave N Ste 202
Nashville, TN 37203-1448

Mailing address

110 29TH Ave N Ste 202
Nashville, TN 37203-1448
Phone (615) 327-4304

Other identifiers 3

IdentifierTypeStateIssuer
309051500MedicaidFL
3633503MedicaidTN
8053660MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000331 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890760698 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelinc Anesthesia VIII PLLCGroup PAC ID 3173984762, 155 clinicians

Practice addresses (Care Compare)

435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200

631 R B Wilson Dr
Huntingdon, TN 38344-1727
Phone (901) 287-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
82262TNMDRegistered Nurse
070282NCMDCertified Registered Nurse Anesthetist
10602TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2015 Accepting new patients
Anesthesia Medical Group, PC CurrentSince Jan 5, 2015 Accepting new patients
Medical Center Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 3, 2013 Accepting new patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Northstar Anesthesia of Tennessee, PLLC CurrentSince Jun 16, 2016 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 10, 2022 Accepting new patients
Mid-South Anesthesia Consultants, PLLC Past Accepting new patients
Orlando Health Inc Past Accepting new patients
Orlando Health Inc Past Accepting new patients
Professional Anesthesia Associates Past Accepting new patients
Pediatric Anesthesiologists P a Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Omaha LLC Past Accepting new patients
Anesthesia Healthcare Partners of Laredo, P. a. Past Accepting new patients

Locations

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

9 Physicians Dr
Jackson, TN 38305
Phone (731) 661-0086

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1235196791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031448",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031448",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETT",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "82262",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "10602",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "070282",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309051500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3633503",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8053660",
            "state": "NC"
        }
    ],
    "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 Jan 5, 2015; 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.