Individual provider Active NPI

Elizabeth Ann Couillard, CRNA

  • Certified Registered Nurse Anesthetist
  • Cleveland, TN
National Provider Identifier
1366420481
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN 9275 Issued in TN
Practice address
2080 Chambliss Ave NW
Cleveland Anesthesiologists Inc
Cleveland, TN 37311-3894
Phone
(423) 472-6514
Fax
(423) 476-2062
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 APN 9275 TN Primary

Addresses

Primary practice location

2080 Chambliss Ave NW
Cleveland Anesthesiologists Inc
Cleveland, TN 37311-3894

Mailing address

PO Box 3090
Cleveland, TN 37320-3090
Phone (423) 472-6513

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000445 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941109532 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN 9275TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Novamed Surgery Center of Chattanooga, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 27, 2012 Accepting new patients
Cleveland Anesthesiologists Inc PastSince Oct 8, 2012 Accepting new patients
Novamed Surgery Center of Chattanooga LLC Past Accepting new patients
Chattanooga Anesthesia Services LLC Past Accepting new patients
Anesthesia Care Enterprises, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

7275 Reliable Pkwy
Chicago, IL 60686

867275 Reliable Pkwy
Chicago, IL 60686

7305 Jarnigan Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 855-6861

1949 Gunbarrel Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 855-5861

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366420481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3090",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373203090",
            "telephone_number": "423-472-6513",
            "fax_number": "423-476-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHAMBLISS AVE NW",
            "address_2": "CLEVELAND ANESTHESIOLOGISTS INC",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113894",
            "telephone_number": "423-472-6514",
            "fax_number": "423-476-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUILLARD",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN 9275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.