Organization Active NPI

Southeast Anesthesia Solutions, LLC

  • Certified Registered Nurse Anesthetist
  • Brentwood, TN
National Provider Identifier
1508047093
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000010793 Issued in TN
Legal business name
SOUTHEAST ANESTHESIA SOLUTIONS, LLC
Practice address
73 Governors Way
Brentwood, TN 37027-8926
Phone
(615) 776-4148
Fax
(615) 776-7337
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Clinton E Fletcher, C. R. N. A.
Title
Owner
Phone
(615) 776-4148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X APN0000010793 TN Primary

Addresses

Primary practice location

73 Governors Way
Brentwood, TN 37027-8926

Mailing address

73 Governors Way
Brentwood, TN 37027-8926
Phone (615) 776-4148

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1508047093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 GOVERNORS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278926",
            "telephone_number": "615-776-4148",
            "fax_number": "615-776-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 GOVERNORS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278926",
            "telephone_number": "615-776-4148",
            "fax_number": "615-776-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ANESTHESIA SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-776-4148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C. R. N. A."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000010793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.