865 WELLNESS KETAMINE LLC
NPI 1912696808
Nurse Anesthetist, Certified Registered in Knoxville, TN
NPI Status: Active since May 05, 2023
Contact Information
601 S CONCORD ST STE 100
KNOXVILLE, TN
ZIP 37919
Phone: (865) 805-3118
Fax: (865) 415-2841
- Organization
- Nurse Anesthetist, Certified Registered
About 865 WELLNESS KETAMINE LLC
This page provides the complete NPI Profile along with additional information for 865 Wellness Ketamine Llc, a provider established in Knoxville, Tennessee operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1912696808 assigned on May 2023. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated one year 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 Jennifer Watson Crna (Owner)
- NPI
- 1912696808
- Provider Name
- 865 WELLNESS KETAMINE LLC
- Entity Type
- Organization
- Location Address
- 601 S CONCORD ST STE 100 KNOXVILLE, TN 37919
- Location Phone
- (865) 805-3118
- Location Fax
- (865) 415-2841
- Mailing Address
- 601 S CONCORD ST STE 100 KNOXVILLE, TN 37919
- Mailing Phone
- (865) 805-3118
- Mailing Fax
- (865) 415-2841
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-05-2023
- Last Update Date
- 07-23-2025
- Code Navigator
Location Map
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.
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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 1912696808, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
KNOXVILLE, TN 37919
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912696808, enumerated as an "organization" on May 05, 2023.
The provider is located at 601 S CONCORD ST STE 100 KNOXVILLE, TN 37919 and the phone number is (865) 805-3118.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
