Middle Tennessee Anesthesia Providers, PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MIDDLE TENNESSEE ANESTHESIA PROVIDERS, PLLC

Practice address

101 Physicians Way
Lebanon, TN 37090-4135

Phone

(615) 521-9097

NPI assigned

Jan 15, 2018

Last updated

Jan 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danna Willis, CRNA

Title

Partner

Phone

(615) 620-2320

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1235647058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293357",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372293357",
            "telephone_number": "615-620-2320",
            "fax_number": "615-620-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHYSICIANS WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904135",
            "telephone_number": "615-521-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE ANESTHESIA PROVIDERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DANNA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "615-620-2320",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Reese Micinski, SLP
• Mid-South Ambulance Service
• Mid-South Cardiology
• Mid-State Oral Surgery of Lebanon
• Middle Tennessee and Adolescent Medicine P.C.
• Middle Tennessee Behavioral Health
• Middle Tennessee Counseling Services, Inc
• Middle Tennessee Occupational Medicine
• Middle Tennessee Pediatric Services, PLLC
• Midtenn Primary Care, LLC

• Certified Registered Nurse Anesthetist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.