Active NPI
Gillie Buffkin, CRNA
- Certified Registered Nurse Anesthetist
- Knoxville, TN
National Provider Identifier
1801858600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9858
- Practice address
- 501 20TH St
Suite 606
Knoxville, TN 37916-1809 - Phone
- (865) 546-8040
- Fax
- (865) 541-2787
- NPI assigned
- Apr 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9858 | TN | Primary |
Addresses
Primary practice location
501 20TH St
Suite 606
Knoxville, TN 37916-1809
Mailing address
501 20TH St
Suite 606
Knoxville, TN 37916-1809
Phone (865) 546-8040
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100010169 | Other | TN | PHP TENNCARE |
| 4088311 | Other | TN | BLUE CROSS |
| 4088311 | Other | TN | BLUECARE |
| P00168914 | Other | TN | TRAVELERS MEDICARE |
| 3622808 | Medicaid | TN |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9858 | TN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Manassas Anesthesia Associates PC | Past | Accepting new patients |
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 1245279777
Nurse Anesthetist, Certified Registered
-
- Specialist
- Manassas, VA
- NPI 1871522466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1801858600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 20TH ST",
"address_2": "SUITE 606",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161809",
"telephone_number": "865-546-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 20TH ST",
"address_2": "SUITE 606",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161809",
"telephone_number": "865-546-8040",
"fax_number": "865-541-2787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFFKIN",
"first_name": "GILLIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "9858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TENNCARE",
"identifier": "100010169",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4088311",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE",
"identifier": "4088311",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "P00168914",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3622808",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.