KINGSPORT ANESTHESIA ASSOCIATES LLC
NPI 1245777036
Nurse Anesthetist, Certified Registered in Kingsport, TN

NPI Status: Active since January 31, 2017

Contact Information

999 EXECUTIVE PARK BLVD
SUITE 100
KINGSPORT, TN
ZIP 37660
Phone: (423) 247-2022
Fax: (423) 247-2027

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  • Organization
  • Nurse Anesthetist, Certified Registered

About KINGSPORT ANESTHESIA ASSOCIATES LLC

This page provides the complete NPI Profile along with additional information for Kingsport Anesthesia Associates Llc, a provider established in Kingsport, Tennessee operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1245777036 assigned on January 2017. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Phillip Clendenin (President)

NPI
1245777036
Provider Name
KINGSPORT ANESTHESIA ASSOCIATES LLC
Entity Type
Organization
Location Address
999 EXECUTIVE PARK BLVD SUITE 100 KINGSPORT, TN 37660
Location Phone
(423) 247-2022
Location Fax
(423) 247-2027
Mailing Address
1A BURTON HILLS BLVD ATTN: PROVIDER ENROLLMENT NASHVILLE, TN 37215
Mailing Phone
(615) 240-3809
Mailing Fax
(423) 247-2027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2017
Last Update Date
01-31-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PHILLIP CLENDENIN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 665-1283

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245777036, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 4 + 7 + 1 + 4 + 0 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1245777036.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Internal Medicine
999 EXECUTIVE PARK BLVD, SUITE 201
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
999 EXECUTIVE PARK BLVD, SUITE 100
KINGSPORT, TN 37660
Specialist
999 EXECUTIVE PARK BLVD, SUITE #102
KINGSPORT, TN 37660
Physician Assistant (Surgical)
999 EXECUTIVE PARK BLVD, SUITE 102
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
999 EXECUTIVE PARK BLVD, SUITE 100
KINGSPORT, TN 37660
Clinic/Center (Ambulatory Surgical)
999 EXECUTIVE PARK BLVD, SUITE 100
KINGSPORT, TN 37660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245777036, enumerated as an "organization" on January 31, 2017.

The provider is located at 999 EXECUTIVE PARK BLVD SUITE 100 KINGSPORT, TN 37660 and the phone number is (423) 247-2022.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.