Tommy Lee Fair, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

12971 Issued in TN

Practice address

200 W Tyler Ave
West Memphis, AR 72301-4223

Phone

(870) 735-1500

Fax

(870) 733-3861

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Arkansas Valley Anesthesia Associates, P. a.

  • Anesthesiology Physician
  • Russellville, AR
  • NPI 1770584393
  NPD (past)
• Crittenden Hospital Association

  • Anesthesiology Physician
  • West Memphis, AR
  • NPI 1821113879
  NPD (past)
• Anesthesia Healthcare Partners of Tennessee PLLC

  • Anesthesiology Physician
  • Germantown, TN
  • NPI 1932226958

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Sheridan Healthcare of North Texas PA

  • Anesthesiology Physician
  • Sunrise, FL
  • NPI 1538142088
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1457317828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W TYLER AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014223",
            "telephone_number": "870-735-1500",
            "fax_number": "870-733-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W TYLER AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014223",
            "telephone_number": "870-735-1500",
            "fax_number": "870-733-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "TOMMY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "12971",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19795701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawanda English
• Stacia Latorria Evans, BCBA
• Jacob Kannan Everhart, DDS
• Evolve Counseling & Consultation
• Extended Life Personal Care Staffing Agency,LLC
• Family Cancer Center, PLLC
• Amber Faulkner
• Kolesha Felton
• Fenter Physical Therapy
• Fenter Physical Therapy

• Certified Registered Nurse Anesthetist in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.