Kenneth Patton Speak, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

33147 Issued in VA

Practice address

127 Health Care Dr
Pennington Gap, VA 24277-2853

Phone

(276) 546-1440

Fax

(276) 546-5759

NPI assigned

Nov 7, 2006

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, TN2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology AssociatesGroup PAC ID 4789781048, 26 clinicians

Tennessee Valley Anesthesia Associates LLCGroup PAC ID 1254677222, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gastroenterology Associates

  • Specialist
  • Kingsport, TN
  • NPI 1770578270
  Medicare reassignment Care Compare group NPD
• Tennessee Valley Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Johnson City, TN
  • NPI 1053881706

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  Nurse Anesthetist, Certified Registered, TN, VA

  Medicare reassignment NPD
• Northeast Tennessee Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Kingsport, TN
  • NPI 1437436102

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gastroenterology Associates

  • Specialist
  • Bristol, TN
  • NPI 1235330994
  NPD
• Cassandra Dingus, FNP, PC

  dba Across The Tracks Health Care

  • Health Service Clinic/Center
  • Big Stone Gap, VA
  • NPI 1952582256
  NPD (past)
• Pennington Gap Hma Inc

  dba Lee Regional Medical Center

  • General Acute Care Hospital
  • Pennington Gap, VA
  • NPI 1033159728
  NPD (past)
• Pennington Gap Hma Physician Management Inc

  • Surgery Physician
  • Pennington Gap, VA
  • NPI 1518914407

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Wellmont Physician Services Inc

  • Internal Medicine Physician
  • Big Stone Gap, VA
  • NPI 1619095403

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesia and Pain Consultants,P.C.

  • Anesthesiology Physician
  • Johnson City, TN
  • NPI 1750399127

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1780753137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARK BLVD",
            "address_2": "SUITE 201",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604632",
            "telephone_number": "423-224-3250",
            "fax_number": "423-224-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HEALTH CARE DR",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772853",
            "telephone_number": "276-546-1440",
            "fax_number": "276-546-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAK",
        "first_name": "KENNETH",
        "middle_name": "PATTON",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "33147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Saylor, CRNA
• Shanley Brooke Shelburne, PA-C
• Stephen Ross Shelburne, DDS
• Southern Home Respiratory & Equipment, Inc.
• SP Lee LLC (Lee Health & Rehab Center)
• Mona Speak, DNP, FNP-BC
• Kala Rutherford Stapleton
• Gregory Ray Stewart, R.PH.
• Valerie Renee Taylor, PTA
• Winston Joshua Terry

• Certified Registered Nurse Anesthetist in Pennington Gap, VA
• Providers in Pennington Gap, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.