Individual provider Active NPI

Steven Fredrick Gertonson, CRNA

  • Certified Registered Nurse Anesthetist
  • Adams, TN
National Provider Identifier
1346216199
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000009262 Issued in TN
Practice address
1950 Bradbury Rd
Adams, TN 37010-8901
Phone
(931) 358-2817
NPI assigned
Feb 23, 2006
Last updated
May 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN0000009262 TN Primary

Addresses

Primary practice location

1950 Bradbury Rd
Adams, TN 37010-8901

Mailing address

1950 Bradbury Rd
Adams, TN 37010-8901
Phone (931) 358-2817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9262TNMDPhysical Therapist
APN0000009262TNMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1346216199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BRADBURY RD",
            "city": "ADAMS",
            "state": "TN",
            "postal_code": "370108901",
            "telephone_number": "931-358-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BRADBURY RD",
            "city": "ADAMS",
            "state": "TN",
            "postal_code": "370108901",
            "telephone_number": "931-358-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTONSON",
        "first_name": "STEVEN",
        "middle_name": "FREDRICK",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000009262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adams, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.