Active NPI
Kyle Andrew Thweatt, DNP
- Certified Registered Nurse Anesthetist
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3010332
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 177485 | TN | MD | Registered Nurse |
| 3010332 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentenn Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Martin Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dr. Mark Armstrong MD PC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Union City, TN
- NPI 1144357799
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Union City, TN
- NPI 1346511011
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Martin, TN
- NPI 1326107327
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba West Tennessee Healthcare Volunteer Hospital
- General Acute Care Hospital
- Martin, TN
- NPI 1275505372
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.