David Q Andrews, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Kingsport, TN
NPI 1508847484 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1508847484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN0000152328 (TN)
- Practice address
- 10415 Wallace Alley St
Kingsport, TN 37663-3936 - Phone
- (423) 390-0451
- Fax
- (423) 968-5697
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paragon Anesthesia PC
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451
1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 390-0451
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451
Hospital & facility affiliations
- Johnson City Medical Center
- Sycamore Shoals Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051013000438 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3779483342 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000152328 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Anesthesia PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| East Tennessee Ambulatory Surgery Center LLC | Current |
Accepting new patients | |
| Singing River Health System | Past |
Accepting new patients |
Locations
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN0000152328 | TN | Yes |
Addresses
Primary practice location
10415 Wallace Alley St
Kingsport, TN 37663-3936
Mailing address
10415 Wallace Alley St
Kingsport, TN 37663-3936
Phone (423) 390-0451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3635472 | Medicaid | TN |
Other providers in Kingsport, TN
- Srinivas Ananthula
- Kathleen Rose Anderson
- Kierra Anderson
- Lindsi Brooke Anderson
- Macie Anderson
- Matthew Andrews
- Cheri L Anglin
- Apex Healthcare,
- Apex Sleep Professionals, LLC
- Appalachian Chiropractic, P.C.
All providers in Kingsport, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.