ROBERT R HERNDON
NPI 1063448058
Nurse Anesthetist, Certified Registered in Bristol, TN

Active since June 23, 2006
1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert R Herndon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT R HERNDON (NPI 1063448058) is an individual nurse anesthetist, certified registered in Bristol, Tennessee, licensed in Tennessee (36461) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1063448058
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameROBERT R HERNDON
Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430
Mailing Address105 W Stone Dr, Suite 6aKingsport, TN 37660-3365 · (423) 408-7220 · Fax (423) 408-7405
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateMay 2, 2014
NPI 1063448058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TN · 36461
Definition

(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.

1 MEDICAL PARK BLVD, Bristol, TN 37620

Other Identifiers 1

Medicare PIN103I438352TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Herndon's NPI number?

The NPI number for Robert Herndon is 1063448058. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Robert Herndon located?

Robert Herndon practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Robert Herndon's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Robert Herndon was last updated on May 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.