Donald E Chamberlain, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Sparta, TN
NPI 1992744171 · NPPES record last updated Jul 30, 2010
Key facts
- NPI
- 1992744171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APN 011520 (TN)
- Practice address
- 401 Sewell Dr
Sparta, TN 38583-1223 - Phone
- (615) 620-2320
- Fax
- (615) 620-2323
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11520 | TN | MD | Social Worker |
| RN047828 | TN | MD | Registered Nurse |
| 33486 | TN | MD | Nurse Practitioner |
| APN 011520 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Anesthesiologist,PLC | Past | Accepting new patients | |
| Lynn H Jones Mid South Anesthesia | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN 011520 | TN | Yes |
| Registered Nurse | 163W00000X | RN047828 | TN |
Addresses
Primary practice location
401 Sewell Dr
Sparta, TN 38583-1223
Mailing address
PO Box 440167
Nashville, TN 37244-0167
Phone (615) 620-2320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01069113 | Other | TN | AMERIGROUP TENNCARE - NON PAR |
| 4168754 | Other | TN | BLUE CROSS/BLUE SHIELD OF TN - AERO |
| 3601605 | Medicaid | TN | |
| 9638982 | Medicaid | WA |
Other providers in Sparta, TN
- Brittany Caleb- Taylor
- Campbell Clinic PC
- Brooklyn Victoria Cantrell
- Ginny Caudle
- Central Tennessee Foot and Ankle Center
- Isha S. Chaney
- Lori Chaney
- James Clark Childress
- Christi, Counseling & Consultation
- Churchill Drive Emergency Physicians LLC
All providers in Sparta, 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 Jul 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.