Individual provider Active NPI

Laura Dianne Wilkens, MSN- CRNA

  • Certified Registered Nurse Anesthetist
  • Oneida, TN
National Provider Identifier
1811947583
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11198 Issued in TN
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000001218303OtherKYCHA HEALTH
000000382181OtherKYKENTUCKY ACCESS
4126702OtherTNBLUE CROSS/BLUE SHIELD
P00695348OtherTNRAILROAD MEDICARE PIN
000000382181OtherKYBLUE CROSS/BLUE SHIELD
3630866MedicaidTN
000000382181OtherKYUNICARE
74002270MedicaidKY
000000382181OtherKYANTHEM BCBS KY
P00309974OtherKYRAILROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050228000431 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436056561 Reassigns benefits to 1 organization
I20060605000152 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436056561 Reassigns benefits to 4 organizations

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
Prodigy Office Anesthesia, LLCGroup PAC ID 8921450776, 9 clinicians

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

LicenseStateTypeSpecialty
4723AKYMDCertified Registered Nurse Anesthetist
RN1108135 ARNP4723AKYMDCertified Registered Nurse Anesthetist
87629TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Prodigy Office Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2023 Accepting new patients
Providian Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
Memorial Hospital, Inc. CurrentSince Jun 1, 2021 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.