Individual provider Active NPI

Sharon F Stroud

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
National Provider Identifier
1982710620
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000009050 Issued in TN
Practice address
12804 Pecos Rd
Knoxville, TN 37934-0884
Phone
(865) 385-9043
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN157792 GA
Certified Registered Nurse Anesthetist 367500000X APN0000009050 TN Primary
Certified Registered Nurse Anesthetist 367500000X 2042 SC

Addresses

Primary practice location

12804 Pecos Rd
Knoxville, TN 37934-0884

Mailing address

PO Box 2626
Fort Worth, TX 76113-2626

Other identifiers 1

IdentifierTypeStateIssuer
4175277OtherTNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000591 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264431055 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN157792GAMDCertified Registered Nurse Anesthetist
APN0000009050TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince May 22, 2015 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Knoxville Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2015 Accepting new patients
Augusta Hospital LLC Past Accepting new patients
BDT Anesthesia Associates PC Past Accepting new patients
American Anesthesiology of Tennessee, P.C. Past Accepting new patients
Merit Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Lakeway Regional Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients
Augusta Physician Services LLC Past Accepting new patients

Locations

310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700

801 N Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone 86558851211644

1706 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 983-0073

629 Delozier Way
#100
Powell, TN 37849
Phone (865) 622-3442

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1982710620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2626",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761132626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12804 PECOS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340884",
            "telephone_number": "865-385-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "SHARON",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN157792",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000009050",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "2042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4175277",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.