Active NPI
Lanny Coker, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9179
- Practice address
- 877 Jefferson Ave
Memphis, TN 38103-2807 - Phone
- (901) 545-7100
- Fax
- (901) 448-5540
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- 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 | 9179 | TN | Primary |
Addresses
Primary practice location
877 Jefferson Ave
Memphis, TN 38103-2807
Mailing address
877 Jefferson Ave
Attn: Provider Enrollment
Memphis, TN 38103-2807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3608393 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1750 Madison Ave
Suite 300
Memphis, TN 38104-6428
Phone (901) 390-2930
312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9179 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Anesthesia Group, PA | Current | Accepting new patients | |
| Midsouth Speciality Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
312 S Rhodes St
West Memphis, AR 72301
Phone (870) 733-1240
1355 W Brierbrook Rd
Germantown, TN 38138
Phone (901) 755-8300
1363 S Germantown Rd
Memphis, TN 38138
Phone (901) 516-6000
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
1750 Madison Ave
Ste 300
Memphis, TN 38104
Phone (901) 725-7025
1417 Monroe Ave
Memphis, TN 38104
Phone (901) 272-7200
3301 S 14th St
Ste 16180
Abilene, TX 79605
Organizations & group practices 3
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
- Germantown, TN
- NPI 1245956440
AR, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1679527501
-
- Gastroenterology Physician
- Memphis, TN
- NPI 1932216389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1811954514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 JEFFERSON AVE",
"address_2": "ATTN: PROVIDER ENROLLMENT",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032807",
"telephone_number": "901-545-7100",
"fax_number": "901-448-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKER",
"first_name": "LANNY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "9179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3608393",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.