NPIMap

Organization Active NPI

Lakeway Regional Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Morristown, TN
National Provider Identifier
1891857371
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
LAKEWAY REGIONAL ANESTHESIA SERVICES
Practice address
726 McFarland St
Morristown, TN 37814-3989
Phone
(813) 287-5718
Fax
(813) 287-5728
NPI assigned
Dec 14, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
David Olsen, CRNANPI 1477580272
Title
MGR
Phone
(813) 287-5718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

726 McFarland St
Morristown, TN 37814-3989

Mailing address

Dept 888022
Knoxville, TN 37995-8022
Phone (813) 287-5718

Other identifiers 1

IdentifierTypeStateIssuer
3732162MedicaidTN

National Provider Directory

National Provider Directory

Locations

Dept 888022
Knoxville, TN 37995

619 W 7th North St
#F
Morristown, TN 37814

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1891857371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 888022",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379958022",
            "telephone_number": "813-287-5718",
            "fax_number": "813-287-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143989",
            "telephone_number": "813-287-5718",
            "fax_number": "813-287-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWAY REGIONAL ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "813-287-5718",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732162",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.