Active NPI
Jill Ann Verble, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN12235
- Practice address
- 975 E. Third St
Chattanooga, TN 37403-2147 - Phone
- (423) 778-7608
- Fax
- (423) 778-2360
- NPI assigned
- Aug 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN124951 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | APN12235 | TN | Primary |
Addresses
Primary practice location
975 E. Third St
Chattanooga, TN 37403-2147
Mailing address
PO Box 11225
Chattanooga, TN 37401-2225
Phone (423) 892-5602
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8053460 | Medicaid | NC | |
| 3638525 | Medicaid | TN | |
| 900500578A | Medicaid | GA | |
| 009911559 | Medicaid | AL | |
| 4156810 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| N360514 | Other | GA | WELLCARE (GA MEDICAID) |
| P00441411 | Other | TN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 602-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN124951 | TN | MD | Registered Nurse |
| 12235 | TN | MD | Pharmacist |
| APN12235 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novamed Surgery Center of Chattanooga, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Consultants Exchange, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novamed Surgery Center of Chattanooga LLC | Past | Accepting new patients |
Locations
867275 Reliable Pkwy
Chicago, IL 60686
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
7305 Jarnigan Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 855-6861
979 E 3rd St
Ste C235
Chattanooga, TN 37403
Phone (423) 602-8400
Organizations & group practices 3
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
- Chattanooga, TN
- NPI 1184670218
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1659658375
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Chattanooga, TN
- NPI 1801890173
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1437161544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11225",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374012225",
"telephone_number": "423-892-5602",
"fax_number": "423-892-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E. THIRD ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032147",
"telephone_number": "423-778-7608",
"fax_number": "423-778-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERBLE",
"first_name": "JILL",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN124951",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN12235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053460",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3638525",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900500578A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911559",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "4156810",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE (GA MEDICAID)",
"identifier": "N360514",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00441411",
"state": "TN"
}
],
"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 16, 2010; 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.