Active NPI
Deana Hagaman, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 96761
- Practice address
- 1755 Kirby Pkwy
Memphis, TN 38120-4398 - Phone
- (901) 725-5846
- Fax
- (901) 726-4827
- NPI assigned
- Jun 3, 2006
- 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 | 96761 | TN | Primary |
Addresses
Primary practice location
1755 Kirby Pkwy
Memphis, TN 38120-4398
Mailing address
PO Box 171306
Memphis, TN 38187-1306
Phone (901) 725-5846
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00126472 | Medicaid | MS | |
| 3630431 | Medicaid | TN | |
| 4040862 | Other | TN | BLUE CROSS |
| 430070367 | Other | RAILROAD MEDICARE |
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
- Medical University of South Carolina College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1000
Hospital & facility affiliations
- Parkwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10864 | TN | MD | General Practice Dentistry |
| 96761 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesiologists, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Covenant Anesthesia Group, PC | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| University Anesthesiologists, PLLC | Past | Accepting new patients |
Locations
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Dept 888089
Knoxville, TN 37995
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220
1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
Organizations & group practices 5
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
- Oak Ridge, TN
- NPI 1639148117
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1073619466
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1679527501
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1558479279
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1710925581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171306",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381871306",
"telephone_number": "901-725-5846",
"fax_number": "901-726-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 KIRBY PKWY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204398",
"telephone_number": "901-725-5846",
"fax_number": "901-726-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAMAN",
"first_name": "DEANA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "96761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00126472",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3630431",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4040862",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430070367",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.