Active NPI
Elizabeth Ellen Jedamski, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
National Provider Identifier
1730284183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN0000011035
- Practice address
- 1801 Gunbarrel Road
Chattanooga, TN 37421 - Phone
- (423) 855-6861
- NPI assigned
- Sep 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN43185 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | APN0000011035 | TN | Primary |
Addresses
Primary practice location
1801 Gunbarrel Road
Chattanooga, TN 37421
Mailing address
PO Box 368
Collegedale, TN 37315-0368
Phone (423) 236-4455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3621074 | Medicaid | TN |
Other names 1
- Elizabeth Ellen Jedamski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11035 | TN | MD | General Practice Dentistry |
| APN0000011035 | TN | MD | Certified Registered Nurse Anesthetist |
| RN43185 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Consultants Exchange, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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
- Chattanooga, TN
- NPI 1184670218
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1730284183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "COLLEGEDALE",
"state": "TN",
"postal_code": "373150368",
"telephone_number": "423-236-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 GUNBARREL ROAD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37421",
"telephone_number": "423-855-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEDAMSKI",
"first_name": "ELIZABETH",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN43185",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN0000011035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3621074",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "JEDAMSKI",
"middle_name": "ELLEN",
"credential": "CRNA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.