UAP CHATTANOOGA PAIN, LLC (NPI# 1679834998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679834998 |
| Entity Type | Organization |
| Organization Name | UAP CHATTANOOGA PAIN, LLC |
| Practice Address |
1016 Executive Dr Hixson TN 37343-3995 |
| Practice Telephone | 4236484525 |
| Practice Fax Number | 4236484626 |
| Mailing Telephone | 6153767550 |
| Mailing Fax Number | 6153296290 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | BRADLEY S. KELLER (OFFICER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4239338596 |
| Authorized Official Credential | CRNA |
| 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 |
| Street Address |
1016 EXECUTIVE DR |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-3995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245263292 | Chattanooga Pain Management Center LLC | Clinic/Center | 1016 Executive Dr, Hixson, TN 37343-3995 | 2006-07-09 |
| 1558526319 | Titan Outpatient Fluoroscopy Services | Clinic/Center | 1016 Executive Dr, Hixson, TN 37343-3995 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| 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 |
|---|---|---|---|---|
| 1356480883 | Regina K Welborn | Nurse Anesthetist, Certified Registered | 2051 Hamill Rd, Hixson, TN 37343 | 2007-02-05 |
| 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 |
| 1831702372 | Chinoyerem Anayo Oji | Nurse Anesthetist, Certified Registered | 2674 New Port Royal Rd, Thompsons Station, TN 37179-5341 | 2020-08-25 |
| 1134765332 | Brennan Mountz | Nurse Anesthetist, Certified Registered | 774 Iris Dr, Sparta, TN 38583-2459 | 2019-11-22 |
| 1760954242 | Ndemafia Tung | Nurse Anesthetist, Certified Registered | 1 Williamsburg Dr Apt 614, Hendersonville, TN 37075-5782 | 2018-12-21 |
| 1649745225 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1304 Mccallie Ave, Chattanooga, TN 37404-2933 | 2018-10-10 |
| 1679058929 | Bristol Computer Services, Inc. | Nurse Anesthetist, Certified Registered | 3185 W State St Ste 2020, Bristol, TN 37620-1600 | 2018-10-02 |
| 1295241495 | Darren Alex Watson | Nurse Anesthetist, Certified Registered | 744 Blount Cir, Rutledge, TN 37861-5713 | 2017-12-26 |
| 1710499561 | Legacy Anesthesia | Nurse Anesthetist, Certified Registered | 12186 Paw Paw Plains Rd, Lenoir City, TN 37771-3510 | 2017-11-02 |
| 1922524073 | Sarah Montgomery Prudhon | Nurse Anesthetist, Certified Registered | 50 N Dunlap St Fl 2, Memphis, TN 38103-2800 | 2017-08-21 |
| 1427585892 | Crystal Koss | Nurse Anesthetist, Certified Registered | 5653 Frist Blvd Ste 532, Hermitage, TN 37076-2067 | 2017-05-17 |
| Find all providers with the same taxonomy | ||||
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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.