NPIMap

Organization Active NPI

Bright Night Anesthesia

  • Certified Registered Nurse Anesthetist
  • Johnson City, TN
National Provider Identifier
1427486430
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
BRIGHT NIGHT ANESTHESIA
Practice address
2328 Knob Creek Rd
Johnson City, TN 37604-2100
Phone
(423) 639-0941
NPI assigned
Oct 30, 2013
Last updated
Jan 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Shawn Dale Bright, CRNANPI 1003140179
Title
Owner
Phone
(423) 202-2696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2328 Knob Creek Rd
Johnson City, TN 37604-2100

Mailing address

PO Box 5210
Johnson City, TN 37602-5610
Phone (423) 639-0941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140207001474 TN Part B Supplier - Clinic/Group Practice 7517196819 Receives reassigned benefits from 11 practitioners
Practice locations: Johnson City, TN; Kingsport, TN

National Provider Directory

National Provider Directory

Locations

101 Med Tech Pkwy
Ste 205
Johnson City, TN 37604
Phone (423) 232-6120

2328 Knob Creek Rd
Johnson City, TN 37604
Phone (423) 722-1311

Dept 888259
Knoxville, TN 37995

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1427486430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5210",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025610",
            "telephone_number": "423-639-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 KNOB CREEK RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042100",
            "telephone_number": "423-639-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT NIGHT ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-202-2696",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.