Active NPI
Mary Sandra Lathrem, CRNA
- Certified Registered Nurse Anesthetist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 38874
- Practice address
- 256 Fort Sanders West Blvd
Knoxville, TN 37922-3355 - Phone
- (859) 699-9534
- NPI assigned
- Sep 18, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3008752 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN9284688 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 38874 | TN | Primary |
Addresses
Primary practice location
256 Fort Sanders West Blvd
Knoxville, TN 37922-3355
Mailing address
940 Bob Kirby Rd
Knoxville, TN 37923-1910
Phone (859) 699-9534
Other practice location 1
62 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851
Other practice location 2
1916 James Downey Rd
Independence, MO 64057-1054
Phone (859) 699-9534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, FL, TN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13051 University Dr
Suite 102
Fort Myers, FL 33907-5704
Phone (239) 887-3608
140 Capital Dr
Suite 2
Knoxville, TN 37922-3572
Phone (865) 546-8040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38874 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams Anesthetist Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Orlando Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Highlands Anesthesia LLC | Past | Accepting new patients |
Locations
1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
62 Columbia St
Orlando, FL 32806
Phone (321) 214-4903
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971
2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
256 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (865) 244-4580
140 Capital Dr
Ste 2
Knoxville, TN 37922
Phone (865) 251-0338
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1962926568
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1770834426
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ocoee, FL
- NPI 1184661696
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sebring, FL
- NPI 1386117331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1306248604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 BOB KIRBY RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379231910",
"telephone_number": "859-699-9534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 FORT SANDERS WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223355",
"telephone_number": "859-699-9534"
}
],
"practiceLocations": [
{
"address_1": "62 Columbia St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061115",
"country_code": "US",
"telephone_number": "321-843-5851",
"fax_number": "321-843-1673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1916 James Downey Rd",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640571054",
"country_code": "US",
"telephone_number": "859-699-9534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATHREM",
"first_name": "MARY",
"middle_name": "SANDRA",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3008752",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9284688",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "38874",
"primary": true
}
],
"identifiers": [],
"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 Jun 23, 2025; 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.