Active NPI
Nicole Siyem
- Certified Registered Nurse Anesthetist
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN0000031474
- Practice address
- 1310 Havenbrook Dr
Nashville, TN 37207-2651 - Phone
- (240) 899-3479
- NPI assigned
- Aug 20, 2021
- Last updated
- Jun 8, 2023
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN0000031474 | TN | Primary |
| Registered Nurse | 163W00000X | 0000248999 | TN |
Addresses
Primary practice location
1310 Havenbrook Dr
Nashville, TN 37207-2651
Mailing address
3035 Sapgate LN
Nashville, TN 37207-3084
Phone (240) 899-3479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 29TH Ave N
Suite 202
Nashville, TN 37203-1448
Phone (615) 327-4304
1700 Old Lebanon Rd
Campbellsville, KY 42718-9615
Phone (270) 465-3561
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.57 of 100
- Quality
- 59.49
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000248999 | TN | MD | Registered Nurse |
| APN0000031474 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Medical Group, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Knoxville Gastroenterology Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| TRH Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| T J Samson Community Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700
1311 Dowell Springs Blvd
Knoxville, TN 37909
Phone 86558851211644
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
629 Delozier Way
#100
Powell, TN 37849
Phone (865) 622-3442
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Nashville, TN
- NPI 1215932413
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Campbellsville, KY
- NPI 1366120370
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1356717227
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, TN
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1477609865
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Centennial Medical Center
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
- General Acute Care Hospital
- Campbellsville, KY
- NPI 1689761942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1497421143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 SAPGATE LN",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372073084",
"telephone_number": "240-899-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 HAVENBROOK DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072651",
"telephone_number": "240-899-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIYEM",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2023-06-08",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN0000031474",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "0000248999",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.