Bria Wall Boukovalas, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

30655 Issued in TN

Practice address

801 N Weisgarber Rd Ste 500
Knoxville, TN 37909-2708

Phone

(865) 588-1662

NPI assigned

Mar 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bria Bethine Wall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1962863621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HAYSLOPE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197228",
            "telephone_number": "281-732-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WEISGARBER RD STE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092708",
            "telephone_number": "865-588-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUKOVALAS",
        "first_name": "BRIA",
        "middle_name": "WALL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "30655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIA",
            "last_name": "WALL",
            "middle_name": "BETHINE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christy Brooke Bottoms, CNM
• Jessica Botts, LPN
• Erin Bouchard
• Christina Bouchillon, PA
• Joseph Robert Boughter
• Stefanos Boukovalas, M.D.
• Heydon Bouldin
• Reid Boulet, DDS, MSC
• Boulevard ENT Surgery Center LLC
• Kate Bounds, NP

• Certified Registered Nurse Anesthetist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.