Active NPI
Sharon Renee Cicero, CRNA
- Certified Registered Nurse Anesthetist
- Tullahoma, TN
National Provider Identifier
1457314304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 10106
- Practice address
- 106 W Blackwell St
Tullahoma, TN 37388-3556 - Phone
- (931) 454-9810
- Fax
- (931) 393-1020
- NPI assigned
- Apr 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 10106 | TN | Primary |
Addresses
Primary practice location
106 W Blackwell St
Tullahoma, TN 37388-3556
Mailing address
PO Box 415000-Msc8337
Nashville, TN 37241-8337
Phone (865) 670-6199
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4062939 | Other | TN | BLUECROSS |
| P00021588 | Other | TN | RAILROAD MEDICARE |
| 3625389 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Anesthesia Group, PA | Past | Accepting new patients |
Organizations & group practices 2
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
- Tullahoma, TN
- NPI 1902849607
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1679527501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1457314304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415000-MSC8337",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372418337",
"telephone_number": "865-670-6199",
"fax_number": "865-670-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W BLACKWELL ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373883556",
"telephone_number": "931-454-9810",
"fax_number": "931-393-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICERO",
"first_name": "SHARON",
"middle_name": "RENEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "10106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "4062939",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00021588",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3625389",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.