Active NPI
Kasyn Delynn Fisher
- Certified Registered Nurse Anesthetist
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 24468
- Practice address
- 620 Skyline Dr
Jackson, TN 38301-3923 - Phone
- (731) 541-5000
- NPI assigned
- Mar 27, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0000194536 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 24468 | TN | Primary |
Addresses
Primary practice location
620 Skyline Dr
Jackson, TN 38301-3923
Mailing address
11 Barnes Rd
Medina, TN 38355-8682
Phone (731) 614-0896
Other practice location 1
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-5454
Other practice location 2
1500 W Poplar Ave
Collierville, TN 38017-0601
Phone (901) 861-9000
Other practice location 3
6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-9000
Other practice location 4
80 Humphreys Center Dr Ste 101
Memphis, TN 38120-2352
Phone (901) 747-3233
Other practice location 5
80 Humphreys Center Dr Ste 310
Memphis, TN 38120-2361
Phone (901) 747-3370
Other practice location 6
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-5000
Other practice location 7
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000194536 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Center Anesthesia Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
80 Humphreys Center Dr
Ste 101
Memphis, TN 38120
Phone (901) 747-3233
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
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
- Jackson, TN
- NPI 1447591730
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1528563178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BARNES RD",
"city": "MEDINA",
"state": "TN",
"postal_code": "383558682",
"telephone_number": "731-614-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013923",
"telephone_number": "731-541-5000"
}
],
"practiceLocations": [
{
"address_1": "1400 S Germantown Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381382205",
"country_code": "US",
"telephone_number": "901-759-5454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 W Poplar Ave",
"address_purpose": "LOCATION",
"city": "Collierville",
"state": "TN",
"postal_code": "380170601",
"country_code": "US",
"telephone_number": "901-861-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6225 Humphreys Blvd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202373",
"country_code": "US",
"telephone_number": "901-227-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Humphreys Center Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202352",
"country_code": "US",
"telephone_number": "901-747-3233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Humphreys Center Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202361",
"country_code": "US",
"telephone_number": "901-747-3370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6019 Walnut Grove Rd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "38120",
"country_code": "US",
"telephone_number": "901-226-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "877 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032807",
"country_code": "US",
"telephone_number": "901-545-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "KASYN",
"middle_name": "DELYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "0000194536",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "24468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.