Laura Lynn Black, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Oak Ridge, TN
NPI 1639459696 · NPPES record last updated Sep 24, 2011
Key facts
- NPI
- 1639459696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 15994 (TN)
- Practice address
- 990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976 - Phone
- (865) 835-3010
- NPI assigned
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Resource Anesthesia, P.C.
American Anesthesiology of Tennessee PC
Covenant Anesthesia Group PC
Practice addresses (Care Compare)
256 Fort Sanders W Blvd
Unit 8
Knoxville, TN 37922-3355
Phone (865) 558-4400
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000
9300 Park W Blvd
Knoxville, TN 37923-4301
Phone (865) 546-8040
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone (865) 835-3560
Hospital & facility affiliations
- Baptist Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111214000148 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9234304635 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149799 | TN | MD | Registered Nurse |
| 15994 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Anesthesia Group, PC | Current |
Accepting new patients | |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current |
Accepting new patients | |
| University Anesthesiologists, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| University Anesthesiologists, PLLC | Past | Accepting new patients |
Locations
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
2100 Exeter Rd
Ste 101
Germantown, TN 38138
Phone (901) 405-8200
256 Fort Sanders West Blvd
Unit 8
Knoxville, TN 37922
1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220
1600 Accelerator Way
Ste 100
Knoxville, TN 37920
Phone (865) 264-3404
256 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (865) 244-4580
Dept 888089
Knoxville, TN 37995
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 149799 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 15994 | TN | Yes |
Addresses
Primary practice location
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Mailing address
PO Box 5059
Oak Ridge, TN 37831-5059
Other providers in Oak Ridge, TN
- Renu Bhateja
- Raiyan Bhuiyan
- Helen Susan Bidawid
- Bio-Medical Applications of Tennessee, Inc.
- Laurel Wieland Bivens
- Kenneth Blaine Blair
- Michael David Blair
- Joanna Gabriel Blankner
- Davina S Blazer
- Carla Ann Blizard
All providers in Oak Ridge, 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 Sep 24, 2011. 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.