UAP LEBANON ENDO, LLC
NPI 1134471725
Nurse Anesthetist, Certified Registered in Lebanon, TN

Active since October 08, 2012
100 PHYSICIANS WAY, STE 340, LEBANON, TN 37090(615) 466-9532 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Uap Lebanon Endo, Llc NPPES

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

UAP LEBANON ENDO, LLC (NPI 1134471725) is a healthcare organization registered as a nurse anesthetist, certified registered in Lebanon, Tennessee and active in the NPI registry since October 2012. The organization lists Kimberly M Harper, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1134471725
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameUAP LEBANON ENDO, LLC
Location Address100 PHYSICIANS WAY, STE 340Lebanon, TN 37090-8102
Mailing Address15305 Dallas Pkwy, #1600Addison, TX 75001-4637 · (972) 713-3547 · Fax (972) 534-1568
Organization SubpartNo
Authorized OfficialKimberly M HarperOfficer/authorized Official · (972) 713-3547
Enumeration DateOctober 8, 2012
Last NPPES UpdateMay 7, 2015
✔ NPI 1134471725 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
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.
100 PHYSICIANS WAY, Lebanon, TN 37090

Other Identifiers 3

Other6023768TN · Bcbs Of Tennesse, Inc.
MedicaidQ008286TN
Medicare UPIN103G709854TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uap Lebanon Endo, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Uap Lebanon Endo, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1215923693
122 GERIS WAY
Lebanon, TN 37087
(615) 444-4571
1.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215913678
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
(615) 936-2000
27 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568459873
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
(615) 936-2000
✔ Accepts Medicare27 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922451368
110 29TH AVE N SUITE 201
Nashville, TN 37203
(615) 327-4304
✔ Accepts Medicare27 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851768592
110 29TH AVE N STE 301
Nashville, TN 37203
(615) 327-4304
✔ Accepts Medicare27 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255635330
298 MEMORIAL DR
Seneca, SC 29672
(864) 482-3100
✔ PECOS✔ Accepts Medicare214 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922378603
690 CANTON ST SUITE 325
Westwood, MA 02090
(781) 407-7713
✔ Accepts Medicare912 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Uap Lebanon Endo, LLC's NPI number?

The NPI number for Uap Lebanon Endo, LLC is 1134471725. It was assigned to this organization in the NPPES registry on October 8, 2012.

Where is Uap Lebanon Endo, LLC located?

Uap Lebanon Endo, LLC is located at 100 Physicians Way Ste 340, Lebanon, TN 37090. The listed phone number is (615) 466-9532.

What is Uap Lebanon Endo, LLC's specialty?

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

Is Uap Lebanon Endo, LLC enrolled in Medicare?

Yes. Uap Lebanon Endo, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Uap Lebanon Endo, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Uap Lebanon Endo, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Uap Lebanon Endo, LLC was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.