Individual provider Active NPI

Kathryn A Walker, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
National Provider Identifier
1447671235
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
18361 Issued in TN
Practice address
120 Huxley Rd Ste 102
Knoxville, TN 37922-3188
Phone
(865) 342-8900
Fax
(865) 691-0843
NPI assigned
Dec 20, 2013
Last updated
Apr 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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 18361 TN Primary

Addresses

Primary practice location

120 Huxley Rd Ste 102
Knoxville, TN 37922-3188

Mailing address

120 Huxley Rd Ste 102
Knoxville, TN 37922-3188
Phone (865) 392-6262

Other names 1

  • Kathryn A Lewis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140416001973 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911139332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
North Carolina Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RevitalistGroup PAC ID 6800295650, 3 clinicians

Practice addresses (Care Compare)

10608 Flickenger LN
Knoxville, TN 37922-3485
Phone (833) 917-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18361TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalist CurrentSince Nov 26, 2017 Accepting new patients
Core Brain Health Current Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Feb 12, 2014 Accepting new patients
Rvlwf Michigan PLLC CurrentSince Nov 12, 2021 Accepting new patients

Locations

2 Red Bush Ct
Johnson City, TN 37601
Phone (423) 283-4958

10608 Flickenger Ln
Knoxville, TN 37922
Phone (833) 917-3400

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1447671235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HUXLEY RD STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223188",
            "telephone_number": "865-392-6262",
            "fax_number": "865-674-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HUXLEY RD STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223188",
            "telephone_number": "865-342-8900",
            "fax_number": "865-691-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "18361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "LEWIS",
            "middle_name": "A",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 18, 2018; 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.