Active NPI
Laura Dianne Wilkens, MSN- CRNA
- Certified Registered Nurse Anesthetist
- Oneida, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11198
- Practice address
- 18797 Alberta Street
Oneida, TN 37841-2127 - Phone
- (865) 777-0909
- Fax
- (865) 777-0910
- NPI assigned
- May 11, 2006
- Last updated
- Jan 11, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN1108135 ARNP4723A | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 11198 | TN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 4723A | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 87629 | TN |
Addresses
Primary practice location
18797 Alberta Street
Oneida, TN 37841-2127
Mailing address
12752 Kingston Pike
Ste E202
Knoxville, TN 37934-0948
Phone (865) 777-0909
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000001218303 | Other | KY | CHA HEALTH |
| 000000382181 | Other | KY | KENTUCKY ACCESS |
| 4126702 | Other | TN | BLUE CROSS/BLUE SHIELD |
| P00695348 | Other | TN | RAILROAD MEDICARE PIN |
| 000000382181 | Other | KY | BLUE CROSS/BLUE SHIELD |
| 3630866 | Medicaid | TN | |
| 000000382181 | Other | KY | UNICARE |
| 74002270 | Medicaid | KY | |
| 000000382181 | Other | KY | ANTHEM BCBS KY |
| P00309974 | Other | KY | RAILROAD MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Tennessee, HSC, College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1710 Cumberland Falls Hwy
Corbin, KY 40701-2727
Phone (606) 528-6700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4723A | KY | MD | Certified Registered Nurse Anesthetist |
| RN1108135 ARNP4723A | KY | MD | Certified Registered Nurse Anesthetist |
| 87629 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweet Dreams Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Prodigy Office Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Providian Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Hospital, Inc. | Current | Accepting new patients | |
| Resource Anesthesia Lakeway, Inc. | Past | Accepting new patients | |
| Jellico Community Hospital, Inc | Past | Accepting new patients | |
| Anesthesia Consultants of Knoxville, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1710 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 528-6700
108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181
9202 Leesgate Rd
Louisville, KY 40222
Phone (502) 276-5554
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Corbin, KY
- NPI 1639950140
Nurse Anesthetist, Certified Registered
-
dba Physician Services of Memorial Hospital
- Specialist
- Manchester, KY
- NPI 1831150119
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Louisville, KY
- NPI 1821654666
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lenoir City, TN
- NPI 1033162045
-
- Certified Registered Nurse Anesthetist
- Corbin, KY
- NPI 1780930743
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1508133497
Nurse Anesthetist, Certified Registered
-
dba AdventHealth Medical Group Manchester
- Family Medicine Physician
- Manchester, KY
- NPI 1912137720
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1669449518
Nurse Anesthetist, Certified Registered
-
dba Care Plus Center
- Multi-Specialty Clinic/Center
- Willaimsburg, KY
- NPI 1407154800
-
- Specialist
- Lenoir, NC
- NPI 1144573015
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Manchester
- Rural Acute Care Hospital
- Manchester, KY
- NPI 1811922347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1811947583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12752 KINGSTON PIKE",
"address_2": "STE E202",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379340948",
"telephone_number": "865-777-0909",
"fax_number": "865-777-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18797 ALBERTA STREET",
"city": "ONEIDA",
"state": "TN",
"postal_code": "378412127",
"telephone_number": "865-777-0909",
"fax_number": "865-777-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKENS",
"first_name": "LAURA",
"middle_name": "DIANNE",
"name_prefix": "Mrs.",
"credential": "MSN- CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "RN1108135 ARNP4723A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "11198",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "4723A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "87629",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA HEALTH",
"identifier": "0000001218303",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY ACCESS",
"identifier": "000000382181",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4126702",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00695348",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000382181",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3630866",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000382181",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74002270",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS KY",
"identifier": "000000382181",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00309974",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oneida, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.