Active NPI
James P Root, CRNA
- Certified Registered Nurse Anesthetist
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN0000112726
- Practice address
- 713 Yadkin St
Kingsport, TN 37660-4933 - Phone
- (423) 245-4935
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- 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 | RN0000112726 | TN | Primary |
Addresses
Primary practice location
713 Yadkin St
Kingsport, TN 37660-4933
Mailing address
713 Yadkin St
Kingsport, TN 37660-4933
Phone (423) 245-4935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3625738 | Medicaid | TN |
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Med Tech Pkwy
Johnson City, TN 37604-4004
Phone (423) 639-0941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000112726 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smokey Mountain Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Norton Community Physician Services LLC | Past | Accepting new patients | |
| Norton Community Physician Services LLC | Past | Accepting new patients | |
| Premier Anesthesia Services PC | Past | Accepting new patients | |
| Terrebonne Parish Hospital Service District #1 | Past | Accepting new patients | |
| Anesthesia and Pain Consultants,P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
110 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 722-0340
110 Med Tech Pkwy
Ste 2
Johnson City, TN 37604
Phone (423) 722-0371
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Johnson City, TN
- NPI 1538196829
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Johnson City, TN
- NPI 1750399127
Nurse Anesthetist, Certified Registered
-
- Specialist
- Kingsport, TN
- NPI 1760593834
-
- Internal Medicine Physician
- Pennington Gap, VA
- NPI 1841098175
-
- Internal Medicine Physician
- Norton, VA
- NPI 1861674160
-
- Anesthesiology Physician
- Houma, LA
- NPI 1740248129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229472000000",
"number": "1720071756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 YADKIN ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604933",
"telephone_number": "423-245-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 YADKIN ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604933",
"telephone_number": "423-245-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOT",
"first_name": "JAMES",
"middle_name": "P",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2008-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN0000112726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3625738",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.