Individual provider Active NPI

Cassie Petett, DNAP

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
National Provider Identifier
1881207082
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0000200283 Issued in TN
Practice address
391 Wallace Rd
Nashville, TN 37211-4851
Phone
(615) 781-4000
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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 0000200283 TN Primary

Addresses

Primary practice location

391 Wallace Rd
Nashville, TN 37211-4851

Mailing address

391 Wallace Rd
Nashville, TN 37211-4851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708000981 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335541788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000200283TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients

Locations

397 Wallace Rd
Ste 407
Nashville, TN 37211
Phone (615) 832-5530

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1881207082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 WALLACE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 WALLACE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114851",
            "telephone_number": "615-781-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETETT",
        "first_name": "CASSIE",
        "credential": "DNAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "0000200283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.