Individual provider Active NPI

Teresa K Barsotti, CRNA

  • Certified Registered Nurse Anesthetist
  • Dyersburg, TN
National Provider Identifier
1841241478
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000008853 Issued in TN
Practice address
401 E Tickle St
Dyersburg, TN 38024-3119
Phone
(866) 591-4362
Fax
(731) 286-0058
NPI assigned
May 16, 2006
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN0000008853 TN Primary

Addresses

Primary practice location

401 E Tickle St
Dyersburg, TN 38024-3119

Mailing address

PO Box 34756
Memphis, TN 38184-0756
Phone (901) 382-1200

Other identifiers 1

IdentifierTypeStateIssuer
1527735MedicaidTN

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

LicenseStateTypeSpecialty
39701TNMDEmergency Medicine Physician
APN0000008853TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Services PLLC CurrentSince Jan 15, 2012 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2015 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jan 1, 2015 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients
Anesthesia Partners PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services of Memphis, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490

401 E Tickle St
Dyersburg, TN 38024
Phone (731) 286-2801

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1841241478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34756",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381840756",
            "telephone_number": "901-382-1200",
            "fax_number": "901-382-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243119",
            "telephone_number": "866-591-4362",
            "fax_number": "731-286-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSOTTI",
        "first_name": "TERESA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000008853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527735",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.