Carolyn G. Baddeley, C.R.N.A.
Individual provider Active NPI Certified Registered Nurse Anesthetist · Oakland, TN
NPI 1891935482 · NPPES record last updated Feb 23, 2009
Key facts
- NPI
- 1891935482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 079819 (TN)
- Practice address
- 3170 Mebane Rd
Oakland, TN 38060-4012 - Phone
- (901) 465-7293
- NPI assigned
- Feb 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifelinc Anesthesia VIII PLLC
East Memphis Anesthesia Services PLC
Practice addresses (Care Compare)
2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (901) 820-7000
435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000
6947 Crumpler Blvd
Olive Branch, MS 38654-1922
Phone (901) 685-2200
825 Ridge Lake Blvd
Memphis, TN 38120-9411
Phone (901) 685-2200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090707000747 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1456402296 | Reassigns benefits to 3 organizations |
| I20250124000615 | MS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1456402296 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079819 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelinc Anesthesia VIII PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| East Memphis Anesthesia Services PLC | Current |
Accepting new patients | |
| Lifelinc Anesthesia II, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| East Memphis Anesthesia Services, PLLC | Past | Accepting new patients |
Locations
6947 Crumpler Blvd
Olive Branch, MS 38654
Phone (662) 893-3300
7600 Airways Blvd
Ste F
Southaven, MS 38671
Phone (662) 349-5901
2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000
255 S Pauline St
Memphis, TN 38104
Phone (901) 261-2804
825 Ridge Lake Blvd
Memphis, TN 38120
Phone (901) 685-6150
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 079819 | TN | Yes |
Addresses
Primary practice location
3170 Mebane Rd
Oakland, TN 38060-4012
Mailing address
3170 Mebane Rd
Oakland, TN 38060-4012
Phone (901) 465-7293
Other providers in Oakland, TN
- Addiction Eviction Limited Liability Company, LLC
- Agilitas USA, Inc
- Applied Behavioral Diagnostics
- Tammie Rochelle Benton-Myers
- Crissy Seal Berry
- Betterx LLC
- Blessing Hands
- Timothy Michael Bodily
All providers in Oakland, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.