Individual provider Active NPI

Deborah A Love, CRNA

  • Certified Registered Nurse Anesthetist
  • Kingsport, TN
National Provider Identifier
1437247772
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000009936 Issued in TN
Practice address
999 Executive Park Blvd
Suite 100
Kingsport, TN 37660-4632
Phone
(423) 247-2022
Fax
(423) 247-2027
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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 APN0000009936 TN Primary

Addresses

Primary practice location

999 Executive Park Blvd
Suite 100
Kingsport, TN 37660-4632

Mailing address

999 Executive Park Blvd
Suite 100
Kingsport, TN 37660-4632
Phone (423) 247-2022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224000419 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052207487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bright Night AnesthesiaGroup PAC ID 7517196819, 6 clinicians

Practice addresses (Care Compare)

999 Executive Park Blvd
Suite 100
Kingsport, TN 37660-4639
Phone (423) 639-0941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000009936TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Surgical Solutions, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2023 Accepting new patients
Kingsport TN Ophthalmology ASC LLC Current Accepting new patients
Bright Night Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC Past Accepting new patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered Past Accepting new patients
American Anesthesiology Group of Tennessee, P. C. Nurse Anesthetist, Certified Registered PastSince Oct 1, 2012 Accepting new patients

Locations

3185 W State St
Ste 2020
Bristol, TN 37620
Phone (423) 968-4141

1159 Volunteer Pkwy
Ste C3
Bristol, TN 37620

101 Med Tech Pkwy
Ste 205
Johnson City, TN 37604
Phone (423) 232-9420

999 Executive Park Blvd
Ste 100
Kingsport, TN 37660
Phone (423) 247-2022

Dept 888259
Knoxville, TN 37995

Organizations & group practices 7

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1437247772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARK BLVD",
            "address_2": "SUITE 100",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604632",
            "telephone_number": "423-247-2022",
            "fax_number": "423-247-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARK BLVD",
            "address_2": "SUITE 100",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604632",
            "telephone_number": "423-247-2022",
            "fax_number": "423-247-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000009936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.

Verify at the official NPI Registry.