Individual provider Active NPI

Donald R Taylor, CRN

  • Certified Registered Nurse Anesthetist
  • Crossville, TN
National Provider Identifier
1932147782
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
76087 Issued in TN
Practice address
1307 West Ave
Suite 102
Crossville, TN 38555-5107
Phone
(931) 456-4433
Fax
(931) 456-4405
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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 76087 TN Primary

Addresses

Primary practice location

1307 West Ave
Suite 102
Crossville, TN 38555-5107

Mailing address

1307 West Ave
Suite 102
Crossville, TN 38555-5107
Phone (931) 456-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76087TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dyersburg Hospital Company LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Sumner Anesthesia Associates, Inc. Past Accepting new patients
Deercreek Anesthesia Consultants PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Upper Cumberland Anesthesia Associates, PC Nurse Anesthetist, Certified Registered PastSince Apr 19, 2020 Accepting new patients

Organizations & group practices 4

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1932147782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WEST AVE",
            "address_2": "SUITE 102",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555107",
            "telephone_number": "931-456-4433",
            "fax_number": "931-456-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WEST AVE",
            "address_2": "SUITE 102",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555107",
            "telephone_number": "931-456-4433",
            "fax_number": "931-456-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "CRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "76087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.