Individual provider Active NPI

Jennifer Devault Watson, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
National Provider Identifier
1346677994
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
18192 Issued in TN
Practice address
601 S Concord St Ste 100
Knoxville, TN 37919-3339
Phone
(865) 805-3118
NPI assigned
Sep 27, 2013
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN2290233 MA
Certified Registered Nurse Anesthetist 367500000X 18192 TN Primary
Registered Nurse 163W00000X 136638 TN

Addresses

Primary practice location

601 S Concord St Ste 100
Knoxville, TN 37919-3339

Mailing address

1518 Laurens Glen LN
Knoxville, TN 37923-6860
Phone (865) 223-2468

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL jendevwatson@gmail.com Other
CONNECT URL jendevwatson@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140910002625 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507094315 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136638TNMDRegistered Nurse
8325TNMDEEG Specialist/Technologist
RN2290233MAMDCertified Registered Nurse Anesthetist
18192TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2014 Accepting new patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jun 18, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Aug 1, 2014 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 9, 2017 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Jun 18, 2024 Accepting new patients
865 Wellness Ketamine LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

116 Brown Ave
Crossville, TN 38555
Phone (865) 694-3283

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

10415 Wallace Alley St
Kingsport, TN 37663
Phone 4233900451 ext. 00451

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

601 S Concord St
Ste 100
Knoxville, TN 37919
Phone (865) 522-7572

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1346677994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 LAURENS GLEN LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379236860",
            "telephone_number": "865-223-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CONCORD ST STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193339",
            "telephone_number": "865-805-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JENNIFER",
        "middle_name": "DEVAULT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2290233",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "18192",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "136638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jendevwatson@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "jendevwatson@gmail.com",
            "address_1": "1518 Laurens Glen Ln",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379236860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jendevwatson@gmail.com",
            "affiliation": "N",
            "address_1": "1518 Laurens Glen Ln",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379236860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.