PRIME ANESTHESIA PLLC (NPI# 1649745225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649745225 |
| Entity Type | Organization |
| Organization Name | PRIME ANESTHESIA PLLC |
| Practice Address |
1304 Mccallie Ave Chattanooga TN 37404-2933 |
| Mailing Address |
Po Box 2116 Collegedale TN 37315-2116 |
| Practice Telephone | 4236227212 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | BRYAN HURT (OWNER) |
| Authorized Official Telephone | 4235039003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231623 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 3711 Stillman Loop, Bryant, AR 72022-9074 | 2020-09-29 |
| 1740887876 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 16 Airport Rd, West Lebanon, NH 03784-1681 | 2020-10-01 |
| Street Address |
1304 MCCALLIE AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261889 | Taylor Keasler Reed | Nurse Anesthetist, Certified Registered | 979 E 3rd St Ste C-325, Chattanooga, TN 37403-2136 | 2020-09-29 |
| 1093113722 | Courtney Louise Lively-manyam | Nurse Anesthetist, Certified Registered | 975 E 3rd St # C-235, Chattanooga, TN 37403-2147 | 2014-12-11 |
| 1477959179 | Elaine Cook | Nurse Anesthetist, Certified Registered | 4812 Montcrest Cir, Chattanooga, TN 37416-1213 | 2014-11-07 |
| 1063720720 | Heather Bonnie Wilson | Nurse Anesthetist, Certified Registered | 8620 Oak View Dr, Chattanooga, TN 37421-4386 | 2010-09-15 |
| 1063737278 | Elizabeth Ann Kouvarakis | Nurse Anesthetist, Certified Registered | 2571 Triangle Farm Rd, Chattanooga, TN 37421-2874 | 2010-03-30 |
| 1730284183 | Elizabeth Ellen Jedamski | Nurse Anesthetist, Certified Registered | 1801 Gunbarrel Road, Chattanooga, TN 37421 | 2006-09-13 |
| 1104845825 | Kim Price | Nurse Anesthetist, Certified Registered | 979 E 3rd St # C300, Chattanooga, TN 37403-2136 | 2006-07-19 |
| 1427084490 | Michael Allen Parker | Nurse Anesthetist, Certified Registered | 1132 Fairmount Ave, Chattanooga, TN 37405-2850 | 2006-06-23 |
| 1427024363 | Cheril M Bailey | Nurse Anesthetist, Certified Registered | 7012 Arbor Leaf Ln, Chattanooga, TN 37421-1969 | 2006-02-28 |
| 1134195811 | Christy L Brown | Nurse Anesthetist, Certified Registered | 2802 Hidden Trail Ln, Chattanooga, TN 37421-5040 | 2006-02-23 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.