Active NPI
Melissa Carol Lefave, CRNA
- Certified Registered Nurse Anesthetist
- Dyersburg, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 055149
- Practice address
- 401 E Tickle St
Dyersburg, TN 38024-3119 - Phone
- (731) 285-1545
- NPI assigned
- Mar 9, 2006
- Last updated
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 055149 | TN | Primary |
Addresses
Primary practice location
401 E Tickle St
Dyersburg, TN 38024-3119
Mailing address
130 Woodland Dr
Brownsville, TN 38012-6875
Phone (731) 779-1724
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, 2002
- 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
700 W Forest Ave
Suite 100
Jackson, TN 38301-3940
Phone (731) 661-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055149 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Anesthesia Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Tennessee Bone and Joint Clinic PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lift Therapy, Inc. | Past | Accepting new patients | |
| Tipton Anesthesia Group, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Services of Memphis, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
24 Physicians Dr
Jackson, TN 38305
Phone (731) 661-9825
50 Capital Ave
Jackson, TN 38305
Phone (731) 661-9825
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
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
-
- Specialist
- Jackson, TN
- NPI 1831312461
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Cordova, TN
- NPI 1568571610
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Covington, TN
- NPI 1336383645
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": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1609844117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 WOODLAND DR",
"city": "BROWNSVILLE",
"state": "TN",
"postal_code": "380126875",
"telephone_number": "731-779-1724",
"fax_number": "731-779-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E TICKLE ST",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380243119",
"telephone_number": "731-285-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFAVE",
"first_name": "MELISSA",
"middle_name": "CAROL",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "055149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.