Individual provider Active NPI

John Q Westbrook III, CRNA

  • Certified Registered Nurse Anesthetist
  • Greeneville, TN
National Provider Identifier
1437112653
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN0000084218 Issued in TN
Practice address
1104 Tusculum Blvd
Suite 114
Greeneville, TN 37745-4091
Phone
(833) 500-9914
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 10574 TN
Certified Registered Nurse Anesthetist 367500000X RN0000084218 TN Primary

Addresses

Primary practice location

1104 Tusculum Blvd
Suite 114
Greeneville, TN 37745-4091

Mailing address

PO Box 896138
Charlotte, NC 28289-6138
Phone (423) 639-0941

Other identifiers 2

IdentifierTypeStateIssuer
3602250MedicaidTN
4082689OtherTNBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000805 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931199833 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000084218TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates CurrentSince Sep 1, 2023 Accepting new patients
Greeneville Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2006 Accepting new patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
Gastroenterology Associates CurrentSince Sep 1, 2023 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Dec 15, 2020 Accepting new patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Tennessee Valley Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Upper Cumberland Anesthesia Associates, PC Nurse Anesthetist, Certified Registered PastSince Apr 19, 2020 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

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

1104 Tusculum Blvd
Ste 114
Greeneville, TN 37745
Phone (833) 500-9914

1104 Tusculum Blvd
Ste 303
Greeneville, TN 37745
Phone (423) 636-8600

401 Takoma Ave
Greeneville, TN 37743
Phone (423) 639-3151

701 Med Tech Pkwy
Ste 100
Johnson City, TN 37604
Phone (423) 283-7302

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

135 W Ravine Rd
Ste 3-A
Kingsport, TN 37660
Phone (423) 246-6777

1210 Tennova Medical Way
Knoxville, TN 37909
Phone (702) 271-8476

1311 Dowell Springs Blvd
Knoxville, TN 37909
Phone 86558851211606

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1437112653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896138",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896138",
            "telephone_number": "423-639-0941",
            "fax_number": "423-638-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 TUSCULUM BLVD",
            "address_2": "SUITE 114",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454091",
            "telephone_number": "833-500-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBROOK",
        "first_name": "JOHN",
        "middle_name": "Q",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "10574",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN0000084218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3602250",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4082689",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.