RICHARD ANTHONY WALLACE CRNA
NPI 1629031992
Nurse Anesthetist, Certified Registered in Harriman, TN

Active since April 08, 2006
8045 ROANE MEDICAL CENTER DR, HARRIMAN, TN 37748(865) 316-1000 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Richard Anthony Wallace Crna NPPES

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

RICHARD ANTHONY WALLACE CRNA (NPI 1629031992) is an individual nurse anesthetist, certified registered in Harriman, Tennessee, licensed in Tennessee (9332) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1629031992
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRICHARD ANTHONY WALLACECredential: CRNA
Location Address8045 ROANE MEDICAL CENTER DRHarriman, TN 37748-8333
Mailing Address969 Oak Ridge Tpke # 316Oak Ridge, TN 37830-8832 · (865) 256-7711 · Fax (866) 548-0571
Sole ProprietorYes
Enumeration DateApril 8, 2006
Last NPPES UpdateSeptember 25, 2013
NPI 1629031992 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 · 9332
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.

8045 ROANE MEDICAL CENTER DR, Harriman, TN 37748

Other Identifiers 15

Medicaid1527480TN
Other171975592453TN · Humana
Other4317478TN · Bcbs - Blue Preferred
Other4317478TN · Bcbs - Blue Select
Other4317478TN · Bcbs - Tenncare Select
Other4317478TN · Bcbs - Medicare Advantage (blueadvantage)
Other0454102553TN · Tricare South Humana Military
Medicare PIN1629031992TN
Other3037582TN · Cigna
Other4317478TN · Bcbs - Bluecare
Other616644300TN · Dept Of Labor Woker's Comp - Feca Program
Other1527480TN · Tenncare, Effective 4/5/12
Other454102553TN · Humana Gold
Other4317478TN · Bcbs - Cover Tennessee
Other616644300TN · Dept Of Labor Worker's Comp - Deeoic Program

Other Providers at the Same Location NPPES 10

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

Medicare Defined Swing Bed Unit
8045 ROANE MEDICAL CENTER DR
HARRIMAN, TN 37748
Physician Assistant
8045 ROANE MEDICAL CENTER DR
HARRIMAN, TN 37748
Internal Medicine
8045 ROANE MEDICAL CENTER DR
HARRIMAN, TN 37748
Hospitalist
8045 ROANE MEDICAL CENTER DR
HARRIMAN, TN 37748
Family Medicine
8045 ROANE MEDICAL CENTER DR
HARRIMAN, TN 37748
Pharmacist
8045 ROANE MEDICAL CENTER DR
HARRIMAN, TN 37748
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
8045 ROANE MEDICAL CENTER DR
HARRIMAN, TN 37748
Nurse Practitioner
8045 ROANE MEDICAL CENTER DR
HARRIMAN, TN 37748

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629031992, enumerated as an "individual" on April 08, 2006.

The provider is located at 8045 ROANE MEDICAL CENTER DR HARRIMAN, TN 37748 and the phone number is (865) 316-1000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare, Medicaid, Humana, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.