Active NPI
Samuel L Couillard, CRNA
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN43073
- Practice address
- 550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772-5673 - Phone
- (952) 442-9770
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
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 | RN43073 | TN | Primary |
Addresses
Primary practice location
550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772-5673
Mailing address
233 W 1St St
Waconia, MN 55387-1302
Phone (952) 442-9770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4072021 | Other | TN | BLUE CROSS OF TENNESSEE |
| 3633144 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040401000432 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9234121047 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN43073 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novamed Surgery Center of Chattanooga, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novamed Surgery Center of Chattanooga LLC | Current | Accepting new patients | |
| Resource Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Chattanooga Anesthesia Services LLC | Past | Accepting new patients | |
| Anesthesia Care Enterprises, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Chattanooga Anesthesia for Outpatient Surgery, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anes. Assc. of N. Alabama | Past | Accepting new patients | |
| Surgical Services P.C. | Past | Accepting new patients | |
| Woods Memorial Hospital | Past | Accepting new patients | |
| Fort Loudoun Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cleveland Anesthesiologists Inc | Past | Accepting new patients |
Locations
7275 Reliable Pkwy
Chicago, IL 60686
867275 Reliable Pkwy
Chicago, IL 60686
1949 Gunbarrel Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 855-5861
7305 Jarnigan Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 855-6861
Organizations & group practices 12
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.
-
- Ambulatory Surgical Clinic/Center
- Chattanooga, TN
- NPI 1801890173
TN
-
- Certified Registered Nurse Anesthetist
- Sweetwater, TN
- NPI 1629077532
TN
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1659658375
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1043231202
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1538448972
-
- Anesthesiology Physician
- Cleveland, TN
- NPI 1962483552
-
- General Acute Care Hospital
- Lenoir City, TN
- NPI 1609860659
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Sweetwater, TN
- NPI 1154433886
-
- General Acute Care Hospital
- Etowah, TN
- NPI 1245212067
-
- Anesthesiology Physician
- Cullman, AL
- NPI 1790795011
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1861450371
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1679560429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 W 1ST ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871302",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 FORT LOUDOUN MEDICAL CENTER DR",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377725673",
"telephone_number": "952-442-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUILLARD",
"first_name": "SAMUEL",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN43073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TENNESSEE",
"identifier": "4072021",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3633144",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lenoir City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.