Active NPI
Lois Nelson-Wiggs, CRNA
- Certified Registered Nurse Anesthetist
- Knoxville, TN
National Provider Identifier
1366484966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9359
- Practice address
- 501 20TH St
Suite 606
Knoxville, TN 37916-1809 - Phone
- (865) 546-8040
- Fax
- (865) 541-2787
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9359 | TN | Primary |
Addresses
Primary practice location
501 20TH St
Suite 606
Knoxville, TN 37916-1809
Mailing address
501 20TH St
Suite 606
Knoxville, TN 37916-1809
Phone (865) 546-8040
Other practice location 1
1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 541-1111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3630266 | Medicaid | TN | |
| 430056950 | Other | TN | MEDICARE TRAVELERS |
| 100031710 | Other | TN | PHP TENNCARE |
| 3037730 | Other | TN | BLUE CROSS |
| 3037730 | Other | TN | BLUECARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Shawnee Mission, KS
- NPI 1336192392
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1366484966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 20TH ST",
"address_2": "SUITE 606",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161809",
"telephone_number": "865-546-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 20TH ST",
"address_2": "SUITE 606",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161809",
"telephone_number": "865-546-8040",
"fax_number": "865-541-2787"
}
],
"practiceLocations": [
{
"address_1": "1901 Clinch Ave",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379162307",
"country_code": "US",
"telephone_number": "865-541-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON-WIGGS",
"first_name": "LOIS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "9359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3630266",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVELERS",
"identifier": "430056950",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TENNCARE",
"identifier": "100031710",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3037730",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE",
"identifier": "3037730",
"state": "TN"
}
],
"endpoints": [],
"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 Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.