Active NPI
Brittany N Farabollini, CRNA
- Certified Registered Nurse Anesthetist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 126090
- Practice address
- 9352 Park West Blvd
Knoxville, TN 37923-4325 - Phone
- (865) 373-1000
- NPI assigned
- Apr 30, 2019
- 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 | 126090 | TN | Primary |
Addresses
Primary practice location
9352 Park West Blvd
Knoxville, TN 37923-4325
Mailing address
1500 Concord Ter
Sunrise, FL 33323-2815
Phone (800) 243-3839
Other practice location 1
907 E LaMar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 983-7211
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 331-1111
Hospital & facility affiliations
- Parkwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126090 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Single Specialty | Current | Accepting new patients |
| Covenant Anesthesia Group, PC | Single Specialty | Current | Accepting new patients |
Locations
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Dept 888089
Knoxville, TN 37995
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
Organizations & group practices 2
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
- Oak Ridge, TN
- NPI 1639148117
Single Specialty
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
Single Specialty
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 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1306400957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CONCORD TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232815",
"telephone_number": "800-243-3839",
"fax_number": "954-851-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9352 PARK WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234325",
"telephone_number": "865-373-1000"
}
],
"practiceLocations": [
{
"address_1": "907 E LaMar Alexander Pkwy",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "TN",
"postal_code": "378045015",
"country_code": "US",
"telephone_number": "865-983-7211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARABOLLINI",
"first_name": "BRITTANY",
"middle_name": "N",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "126090",
"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 Sep 18, 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.