Individual provider Active NPI

Timothy Jay Creps

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
National Provider Identifier
1760158430
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
141243 Issued in TN
Practice address
4230 Harding Pike Ste 435
Nashville, TN 37205-4900
Phone
(615) 385-3704
NPI assigned
Aug 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 222007 TN
Student in an Organized Health Care Education/Training Program 390200000X TN
Certified Registered Nurse Anesthetist 367500000X 141243 TN Primary

Addresses

Primary practice location

4230 Harding Pike Ste 435
Nashville, TN 37205-4900

Mailing address

4230 Harding Pike Ste 435
Nashville, TN 37205-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316001434 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517331465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Anesthesia Services LLCGroup PAC ID 7315411907, 33 clinicians
Cardiovascular Anesthesiologists PCGroup PAC ID 4688571045, 142 clinicians

Practice addresses (Care Compare)

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 381-1111

4230 Harding Pike
Suite 435
Nashville, TN 37205-4900
Phone (615) 385-3704

Hospital & facility affiliations

  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
222007TNMDRegistered Nurse
141243TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Anesthesiologists PC Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2023 Accepting new patients

Locations

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

4230 Harding Pike
Ste 435
Nashville, TN 37205
Phone (615) 385-3704

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1760158430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 435",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 435",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054900",
            "telephone_number": "615-385-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREPS",
        "first_name": "TIMOTHY",
        "middle_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-21",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "222007",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "141243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.

Verify at the official NPI Registry.