Individual provider Active NPI

Kyle Andrew Thweatt, DNP

  • Certified Registered Nurse Anesthetist
  • Paducah, KY
National Provider Identifier
1689022964
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3010332 Issued in KY
Practice address
225 Medical Center Dr
Suite 405
Paducah, KY 42003-7914
Phone
(270) 441-4750
Fax
(270) 441-4770
NPI assigned
May 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 177485 TN
Certified Registered Nurse Anesthetist 367500000X 3010332 KY Primary

Addresses

Primary practice location

225 Medical Center Dr
Suite 405
Paducah, KY 42003-7914

Mailing address

225 Medical Center Dr
Suite 405
Paducah, KY 42003-7914
Phone (270) 441-4750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210422000360 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648564781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentenn AnesthesiaGroup PAC ID 4082878079, 5 clinicians
Martin Anesthesia Group IncGroup PAC ID 1951384619, 3 clinicians
Dr. Mark Armstrong MD PCGroup PAC ID 2365494119, 3 clinicians

Practice addresses (Care Compare)

1109 E Reelfoot Ave
Suite C
Union City, TN 38261-5866
Phone (731) 884-0600

161 Mount Pelia Rd
Martin, TN 38237-3811
Phone (731) 588-0001

1722 E Reelfoot Ave
Suite 1
Union City, TN 38261-6050
Phone (731) 885-0085

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177485TNMDRegistered Nurse
3010332KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentenn Anesthesia Nurse Anesthetist, Certified Registered CurrentSince May 11, 2021 Accepting new patients
Martin Anesthesia Group Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Dr. Mark Armstrong MD PC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients

Locations

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

1722 E Reelfoot Ave
Ste 1
Union City, TN 38261
Phone (731) 885-0085

1109 E Reelfoot Ave
Ste C
Union City, TN 38261
Phone (731) 884-0600

Organizations & group practices 3

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.

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1689022964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 405",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4750",
            "fax_number": "270-441-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 405",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4750",
            "fax_number": "270-441-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THWEATT",
        "first_name": "KYLE",
        "middle_name": "ANDREW",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "177485",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3010332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.