Individual provider Active NPI

Kristina E Conroy, CRNA

  • Certified Registered Nurse Anesthetist
  • Clarksville, TN
National Provider Identifier
1841569316
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
16432 Issued in TN
Practice address
1817A Madison St
Ste 1
Clarksville, TN 37043-2930
Phone
(931) 551-1795
Fax
(931) 551-1798
NPI assigned
Dec 29, 2011
Last updated
Aug 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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 16432 TN Primary

Addresses

Primary practice location

1817A Madison St
Ste 1
Clarksville, TN 37043-2930

Mailing address

1817A Madison St
Ste 1
Clarksville, TN 37043-2930
Phone (931) 551-1795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000273 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931366614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Anesthesia of TennesseeGroup PAC ID 4688902067, 37 clinicians

Practice addresses (Care Compare)

3000 Edward Curd Lane
Franklin, TN 37067
Phone (615) 791-2630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
16432TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2014 Accepting new patients
Specialty Anesthesia of Tennessee CurrentSince Jan 20, 2023 Accepting new patients

Locations

3000 Edward Curd Ln
Franklin, TN 37067
Phone (615) 791-2630

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

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, 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": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1841569316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817A MADISON ST",
            "address_2": "STE 1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432930",
            "telephone_number": "931-551-1795",
            "fax_number": "931-551-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817A MADISON ST",
            "address_2": "STE 1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432930",
            "telephone_number": "931-551-1795",
            "fax_number": "931-551-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "KRISTINA",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "16432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.