Individual provider Active NPI

Peggy Kerres Leonard, CRNA

  • Certified Registered Nurse Anesthetist
  • Smyrna, TN
National Provider Identifier
1619290749
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
082939 Issued in OH
Practice address
200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone
(615) 768-2000
NPI assigned
Mar 3, 2010
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 082939 OH Primary

Addresses

Primary practice location

200 Stonecrest Blvd
Smyrna, TN 37167-6810

Mailing address

2501 Leeville Rd
Mt Juliet, TN 37122-3910
Phone (865) 368-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200128002463 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850427105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashville Anesthesia PLLCGroup PAC ID 1557350501, 62 clinicians

Practice addresses (Care Compare)

200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (954) 939-5000

391 Wallace Rd
Nashville, TN 37211-4851
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
082939OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Hermitage Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 20, 2019 Accepting new patients
Nashville Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2020 Accepting new patients
Grant Anesthesia Services LTD Past Accepting new patients
Advanced Diagnostic Imaging, PC PastSince Dec 19, 2019 Accepting new patients

Locations

5653 Frist Blvd
Hermitage, TN 37076
Phone (615) 232-8812

1A Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-5579

397 Wallace Rd
Ste 407
Nashville, TN 37211
Phone (615) 832-5530

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1619290749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LEEVILLE RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223910",
            "telephone_number": "865-368-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STONECREST BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676810",
            "telephone_number": "615-768-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "PEGGY",
        "middle_name": "KERRES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "082939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.