Active NPI
James E Delk, CRNA
- Certified Registered Nurse Anesthetist
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 13898
- Practice address
- 100 W 4TH St
Suite 310
Cookeville, TN 38501-2448 - Phone
- (931) 528-7877
- Fax
- (931) 526-3261
- NPI assigned
- Jan 13, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 13898 | TN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 133054 | TN |
Addresses
Primary practice location
100 W 4TH St
Suite 310
Cookeville, TN 38501-2448
Mailing address
100 W 4TH St
Suite 310
Cookeville, TN 38501-2448
Phone (931) 528-7877
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4215000 | Other | TN | BCBS |
| 1510622 | Medicaid | TN | |
| P00785850 | Other | TN | MEDICARE RAIL ROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200
Hospital & facility affiliations
- Cookeville Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133054 | TN | MD | Certified Registered Nurse Anesthetist |
| 13898 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelinc Anesthesia II, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lifelinc Anesthesia VIII PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
467 N Whitney Ave
Cookeville, TN 38501
Phone (931) 528-5007
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Newport, TN
- NPI 1679265052
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, TN
- NPI 1821397233
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1871730804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 4TH ST",
"address_2": "SUITE 310",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012448",
"telephone_number": "931-528-7877",
"fax_number": "931-526-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 4TH ST",
"address_2": "SUITE 310",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012448",
"telephone_number": "931-528-7877",
"fax_number": "931-526-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELK",
"first_name": "JAMES",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-13",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "13898",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "133054",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4215000",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1510622",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P00785850",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 12, 2010; 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.