Active NPI
Tracy Coverdale, CRNA
- Certified Registered Nurse Anesthetist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 7601058642
- Practice address
- 265 Brookview Centre Way Ste 203
Knoxville, TN 37919-4053 - Phone
- (865) 293-5749
- NPI assigned
- Aug 18, 2005
- Last updated
- Mar 6, 2025
- Sex
- Female
- 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 | 7601058642 | DC | Primary |
Addresses
Primary practice location
265 Brookview Centre Way Ste 203
Knoxville, TN 37919-4053
Mailing address
PO Box 631856
Baltimore, MD 21263-1856
Other practice location 1
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-8640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000
20680 Seneca Meadows Pkwy
Suite 200
Germantown, MD 20876-7029
Phone (202) 276-9197
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7601058642 | DC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Anesthesia Company, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstar Georgetown Medical Center, Inc | Past | Accepting new patients | |
| Outpatient Anesthesia Services of Reston, LTD | Past | Accepting new patients | |
| Medstar Georgetown Medical Center | Past | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
6400 Goldsboro Rd
Ste 400
Bethesda, MD 20817
Phone (301) 263-0800
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114
Interoperability endpoints
- tcoverdale53395@direct.hopkinsmedicine.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1871548156
DC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Washington, DC
- NPI 1811930647
-
- Clinical Medical Laboratory
- Washington, DC
- NPI 1730198755
-
- Internal Medicine Physician
- Washington, DC
- NPI 1285636522
-
- Anesthesiology Physician
- Reston, VA
- NPI 1376654434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1699767426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631856",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 BROOKVIEW CENTRE WAY STE 203",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194053",
"telephone_number": "865-293-5749"
}
],
"practiceLocations": [
{
"address_1": "3800 Reservoir Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200072113",
"country_code": "US",
"telephone_number": "202-444-8640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COVERDALE",
"first_name": "TRACY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DC",
"license": "7601058642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.