Individual provider Active NPI

Kenia Sosa, CRNA

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
National Provider Identifier
1356580138
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
35483 Issued in TN
Practice address
1651 Gunbarrel Rd Ste 102
Chattanooga, TN 37421-3289
Phone
(423) 308-0390
Fax
(423) 308-0395
NPI assigned
Feb 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 35483 TN Primary

Addresses

Primary practice location

1651 Gunbarrel Rd Ste 102
Chattanooga, TN 37421-3289

Mailing address

4976 Alpha LN
Hixson, TN 37343-5470
Phone (423) 497-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230207001432 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012074388 Reassigns benefits to 2 organizations
I20240301002597 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012074388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Florida International Univ, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (865) 546-8040

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 7, 2022 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Watauga Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 7, 2022 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients
Galen Medical Group, PC CurrentSince Mar 1, 2024 Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Nov 7, 2022 Accepting new patients
Watauga Medical Center Inc CurrentSince Nov 7, 2022 Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients

Locations

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1651 Gunbarrel Rd
Ste 302
Chattanooga, TN 37421
Phone (423) 899-2904

1651 Gunbarrel Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 308-0292

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

7450 Tyner Rd
Chattanooga, TN 37421
Phone (423) 697-8754

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

4976 Alpha Ln
Hixson, TN 37343
Phone (423) 308-0280

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

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1356580138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 ALPHA LN",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435470",
            "telephone_number": "423-497-5355",
            "fax_number": "423-308-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 GUNBARREL RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213289",
            "telephone_number": "423-308-0390",
            "fax_number": "423-308-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "KENIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "35483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.

Verify at the official NPI Registry.