Individual provider Active NPI

James E Kuziel, CRNA

  • Certified Registered Nurse Anesthetist
  • Johnson City, TN
National Provider Identifier
1962473587
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9562 Issued in TN
Practice address
110 Med Tech Pkwy
Johnson City, TN 37604-4004
Phone
(423) 722-0371
Fax
(423) 722-0365
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered Nurse 163WP0000X RN053103 TN
Certified Registered Nurse Anesthetist 367500000X 9562 TN Primary

Addresses

Primary practice location

110 Med Tech Pkwy
Johnson City, TN 37604-4004

Mailing address

PO Box 5665
Johnson City, TN 37602-5665
Phone (423) 639-0941

Other identifiers 1

IdentifierTypeStateIssuer
3723438MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120000931 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365356987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smokey Mountain Anesthesia PCGroup PAC ID 0749194363, 9 clinicians

Practice addresses (Care Compare)

110 Med Tech Pkwy
Johnson City, TN 37604-4004
Phone (423) 639-0941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9562TNMDDentist
RN053103TNMDPain Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Smokey Mountain Anesthesia PC Pain Management CurrentSince Jan 1, 2004 Accepting new patients
DM Anesthetists of Il, LLC Past Accepting new patients
Amsol Anesthetists of Illinois, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Memorial Health Anesthetists Past Accepting new patients
Amsol Anesthetists of Litchfield Il Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia and Pain Consultants,P.C. Nurse Anesthetist, Certified Registered PastSince Mar 1, 2000 Accepting new patients
Amsol Anesthetists of Henderson PLLC Past Accepting new patients
Medical Center Anesthesiology of Athens Past Accepting new patients

Locations

110 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 722-0340

110 Med Tech Pkwy
Ste 2
Johnson City, TN 37604
Phone (423) 722-0371

Organizations & group practices 9

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1962473587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5665",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025665",
            "telephone_number": "423-639-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MED TECH PKWY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044004",
            "telephone_number": "423-722-0371",
            "fax_number": "423-722-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZIEL",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "TN",
            "license": "RN053103",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "9562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723438",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.

Verify at the official NPI Registry.