Individual provider Active NPI

Maryhelen M Kemp, RN

  • Certified Registered Nurse Anesthetist
  • Cookeville, TN
National Provider Identifier
1851693444
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000015362 Issued in TN
Practice address
1059 Neal Street
Cookeville, TN 38501
Phone
(931) 646-7058
Fax
(931) 646-7059
NPI assigned
Dec 2, 2010
Last updated
Apr 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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 APN0000015362 TN Primary

Addresses

Primary practice location

1059 Neal Street
Cookeville, TN 38501

Mailing address

PO Box 16068
High Point, NC 27261-6068
Phone (888) 447-7220

Other identifiers 5

IdentifierTypeStateIssuer
1522195MedicaidTN
4284593OtherTNBCBS
3629275MedicaidTN
621714950OtherTAX ID
1326171794OtherGROUP NPI

Other names 1

  • Miss Maryhelen H McCall Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110208000059 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274713300 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

204 Medical Dr
Lafayette, TN 37083-1719
Phone (615) 824-0043

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000015362TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Stage Two Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 8, 2011 Accepting new patients
Macon County General Hospital Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Genesis Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 18, 2012 Accepting new patients
Wilson County Eye Surgery Center, LLC Current Accepting new patients
Nashville Vascular and Vein Institute, PLLC CurrentSince Apr 18, 2012 Accepting new patients
Franklin Endo Uap, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2013 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2022 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

1059 Neal St
Ste B
Cookeville, TN 38501
Phone (931) 646-7058

467 N Whitney Ave
Cookeville, TN 38501
Phone (931) 528-5007

740 Cool Springs Blvd
Ste 210B
Franklin, TN 37067
Phone (615) 550-6066

9160 Carothers Pkwy
Franklin, TN 37067
Phone (615) 550-6066

9160 Carothers Pkwy
Ste 100
Franklin, TN 37067
Phone (615) 446-1915

520 Rivergate Pkwy
Ste 101
Goodlettsvlle, TN 37072
Phone (615) 829-5335

204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330

1670 W Main St
Ste 120
Lebanon, TN 37087
Phone (615) 453-4906

310 25th Ave N
Ste 105
Nashville, TN 37203
Phone (615) 329-9023

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16055/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/7b9c3187-d5a9-4f6c-ab6d-6c3b4f2632bc/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1851693444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16068",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272616068",
            "telephone_number": "888-447-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 NEAL STREET",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38501",
            "telephone_number": "931-646-7058",
            "fax_number": "931-646-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "MARYHELEN",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000015362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522195",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4284593",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3629275",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "621714950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1326171794",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYHELEN",
            "last_name": "MCCALL",
            "middle_name": "H",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.