James R Kennedy, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

8772 Issued in TN

Practice address

1104 Tusculum Blvd
Suite 114
Greeneville, TN 37745-4091

Phone

(423) 639-0941

NPI assigned

Apr 10, 2006

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greeneville Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Greeneville, TN
  • NPI 1568409076

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1679536890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": ":PO BOX",
            "address_2": "PO BOX 896138",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896138",
            "telephone_number": "833-500-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 TUSCULUM BLVD",
            "address_2": "SUITE 114",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454091",
            "telephone_number": "423-639-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "8772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3600923",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "3049637",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Karriker, PHARM D
• Robert Earnest Keasling III, PHARMD
• Taren A Keebler, FNP
• George B. Kehler II, M.D.
• Maci Alexandria Kelley, FNP-C
• Kevin G Hartman Estate
• Nancy Ann Key, LPN
• Teresa M Kidd, PHD
• Kidsfirst Pediatrics, Inc.
• Helen Christine Kilday, LCSW BSW MSSW

• Certified Registered Nurse Anesthetist in Greeneville, TN
• Providers in Greeneville, 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 Sep 22, 2022; 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.