Active NPI
Susan Diann Patterson, CRNA
- Certified Registered Nurse Anesthetist
- Morristown, TN
National Provider Identifier
1780679928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN0000042466
- Practice address
- 1027 E Main St
Morristown, TN 37814-6632 - Phone
- (423) 581-5984
- Fax
- (423) 581-0984
- NPI assigned
- Sep 14, 2005
- 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 | RN0000042466 | TN | Primary |
Addresses
Primary practice location
1027 E Main St
Morristown, TN 37814-6632
Mailing address
PO Box 1718
Morristown, TN 37816-1718
Phone (423) 581-5987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3605561 | Medicaid | TN | |
| 3091980 | Other | TN | BCBS |
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, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1124 E Weisgarber Rd
Suite 110
Knoxville, TN 37909-2600
Phone (865) 588-1037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8912 | TN | MD | Physical Therapist |
| RN0000042466 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knoxville Ophthalmology ASC, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Knoxville Ophthalmology ASC, LLC | Past | Accepting new patients |
Locations
1124 E Weisgarber Rd
Ste 110
Knoxville, TN 37909
Phone (865) 588-1037
Organizations & group practices 2
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
- Knoxville, TN
- NPI 1568622413
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Knoxville, TN
- NPI 1013997915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1780679928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1718",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378161718",
"telephone_number": "423-581-5987",
"fax_number": "423-581-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 E MAIN ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378146632",
"telephone_number": "423-581-5984",
"fax_number": "423-581-0984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "SUSAN",
"middle_name": "DIANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN0000042466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3605561",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3091980",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.