NPIMap

Organization Active NPI

Trail of the Cumberlands Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Tazewell, TN
National Provider Identifier
1700892429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
TRAIL OF THE CUMBERLANDS ANESTHESIA ASSOCIATES
Practice address
1850 Old Knoxville Hwy
Claiborne County Hospital
Tazewell, TN 37879
Phone
(423) 626-4211
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary F Render, CRNA
Title
Cfo
Phone
(423) 349-4314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1850 Old Knoxville Hwy
Claiborne County Hospital
Tazewell, TN 37879

Mailing address

675 Cox Hollow Rd
Trail of the Cumberlands Anesthesia Associates
Kingsport, TN 37663-3150
Phone (423) 349-4319

Other identifiers 1

IdentifierTypeStateIssuer
3629220MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700892429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 COX HOLLOW RD",
            "address_2": "TRAIL OF THE CUMBERLANDS ANESTHESIA ASSOCIATES",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633150",
            "telephone_number": "423-349-4319",
            "fax_number": "423-349-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 OLD KNOXVILLE HWY",
            "address_2": "CLAIBORNE COUNTY HOSPITAL",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "37879",
            "telephone_number": "423-626-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAIL OF THE CUMBERLANDS ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENDER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-349-4314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3629220",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.