Terry E Puckett, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1188A Issued in KY

Practice address

145 Newcomb Ave
Mount Vernon, KY 40456-2728

Phone

(606) 256-2195

Fax

(606) 256-3947

NPI assigned

Aug 29, 2006

Last updated

May 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Resource Anesthesia Cumberland Valley Inc

  • Certified Registered Nurse Anesthetist
  • Corbin, KY
  • NPI 1780930743

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Rockcastle County Hospital, Inc.

  dba Rockcastle Regional Hospital and Respiratory Care Center

  • General Acute Care Hospital
  • Mount Vernon, KY
  • NPI 1104890714

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Trustworthy Anesthesia Care

  • Certified Registered Nurse Anesthetist
  • Paris, TN
  • NPI 1942601539

  KY, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Arena and Monaco, PSC Crna

  • Certified Registered Nurse Anesthetist
  • Corbin, KY
  • NPI 1285762872

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Definitive Medical Solutions, PSC

  • Anesthesiology Physician
  • Corbin, KY
  • NPI 1831207067

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Jackson Hospital Corporation

  dba Kentucky River ER, Anesth, Radiology

  • Emergency Medicine Physician
  • Jackson, KY
  • NPI 1679774996

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Kentucky River HBP LLC

  • Diagnostic Radiology Physician
  • Jackson, KY
  • NPI 1174752356
  NPD (past)
• Rockcastle County Hospital, Inc.

  dba Rockcastle Family Wellness

  • Rural Health Clinic/Center
  • Mount Vernon, KY
  • NPI 1255645040
  NPD (past)
• Anesthesia Care Enterprises, LLC

  • Anesthesiology Physician
  • Aurora, CO
  • NPI 1861450371

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Radiology Inc

  • Diagnostic Radiology Physician
  • Huntington, WV
  • NPI 1457339277
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1336257336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562728",
            "telephone_number": "606-256-2195",
            "fax_number": "606-256-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562728",
            "telephone_number": "606-256-2195",
            "fax_number": "606-256-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Trillium Way",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "40701",
            "country_code": "US",
            "telephone_number": "606-528-1212 x1164",
            "fax_number": "606-523-2547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "TERRY",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1188A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74399510",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000323242",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohini Reshma Bharat Patel
• Tiffany Patrick, CRNA
• Brittany Perkins-Saylor, PA-C
• Mary Lynn Philbeck, M.ED., LPCC
• Phoenix Rehabilitation Services LLC (My Brothers Keepers)
• Rockcastle County Adult Health Care
• Rockcastle County Ambulance Service Inc
• Rockcastle County Board of Education
• Rockcastle County Hospital, Inc. (Rockcastle Regional Hospital and Respiratory Care Center)
• Rockcastle County Hospital, Inc. (Rockcastle Family Dental Center)

• Certified Registered Nurse Anesthetist in Mount Vernon, KY
• Providers in Mount Vernon, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.