Karen Jane Phillips-Wilson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN68495/APN9345 Issued in TN

Practice address

124 Lake Crest Dr
Lenoir City, TN 37772-3825

Phone

(865) 986-4405

NPI assigned

Jun 5, 2006

Last updated

Mar 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• American Anesthesiology of Tennessee, P.C.

  • Anesthesiology Physician
  • Knoxville, TN
  • NPI 1609822998
  NPD (past)
• Anesthesia and Pain Consultants,P.C.

  • Anesthesiology Physician
  • Johnson City, TN
  • NPI 1750399127

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesia Consultants of Knoxville, PC

  • Anesthesiology Physician
  • Knoxville, TN
  • NPI 1669449518

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Resource Anesthesia, P.C.

  • Certified Registered Nurse Anesthetist
  • Lenoir City, TN
  • NPI 1033162045

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1619916988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LAKE CREST DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377723825",
            "telephone_number": "865-986-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LAKE CREST DR",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377723825",
            "telephone_number": "865-986-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-WILSON",
        "first_name": "KAREN",
        "middle_name": "JANE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN68495/APN9345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3604909",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4118625",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Performance Eyecare Clinic, Inc.
• Performance Eyecare PLLC
• Stephen D Pershing, M.D. LLC
• Joseph C. Petit, MD
• Cynthia Mae Petty, CPHT
• Physician Associate Resources, PLC (Clinica Familiar Latinoamerica)
• Physicians Clinic, P.C.
• Physiotherapy Associates
• Physiotherapy Associates Inc (Select Physical Therapy)
• Kathryn Pierce, APN

• Certified Registered Nurse Anesthetist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.