Susan R St. John, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

46243 Issued in TN

Practice address

787 D Sain Rd
Manchester, TN 37355-3940

Phone

(931) 409-1238

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• Northstar Anesthesia of Tennessee, PLLC

  • Anesthesiology Physician
  • McMinnville, TN
  • NPI 1821390451
  Medicare reassignment NPD
• Coastal Healthcare Resources Inc

  • Anesthesiology Physician
  • Florence, SC
  • NPI 1467635128

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• Anesthesia Care of Tullahoma, P.C.

  • Anesthesiology Physician
  • Tullahoma, TN
  • NPI 1902849607
  Medicare reassignment
• Highland Rim Anesthesia, P.C.

  • Anesthesiology Physician
  • Tullahoma, TN
  • NPI 1073554960
  NPD (past)
• Murfreesboro Anesthesia Group, P.a.

  • Anesthesiology Physician
  • Murfreesboro, TN
  • NPI 1912959867

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesia Network Services, LLC

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1508199142
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1689617334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 D SAIN RD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553940",
            "telephone_number": "931-409-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 D SAIN RD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553940",
            "telephone_number": "931-409-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "SUSAN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "46243",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3009223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3624683",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0009555",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "4061907",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100387060",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southland LTC Pharmacy
• Southland Pharmacy LLC
• Southland Pharmacy LLC
• Nicole Sparkman, PMHNP
• Benjamin Charles Spaulding Jr., DDS
• Staffco of Eastern TN. Inc
• State of Tennessee
• Zsarel Stepp
• Isaac H Stovall, M D
• Amy Sullivan

• Certified Registered Nurse Anesthetist in Manchester, TN
• Providers in Manchester, 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 May 9, 2017; 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.

Verify at the official NPI Registry.