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865 WELLNESS KETAMINE LLC
NPI 1912696808
Nurse Anesthetist, Certified Registered in Knoxville, TN

Active since May 05, 2023
601 S CONCORD ST STE 100, KNOXVILLE, TN 37919(865) 805-3118(865) 415-2841 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 865 Wellness Ketamine Llc NPPES

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

865 WELLNESS KETAMINE LLC (NPI 1912696808) is a healthcare organization registered as a nurse anesthetist, certified registered in Knoxville, Tennessee and active in the NPI registry since May 2023. The organization lists Jennifer Watson, Owner, as its authorized official.

NPPES Registry Identity

NPI1912696808
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business Name865 WELLNESS KETAMINE LLC
Location Address601 S CONCORD ST STE 100Knoxville, TN 37919-3339
Mailing Address601 S Concord St Ste 100Knoxville, TN 37919-3339 · (865) 805-3118 · Fax (865) 415-2841
Phone(865) 805-3118
Fax(865) 415-2841
Organization SubpartNo
Authorized OfficialJennifer WatsonOwner · (865) 223-2468
Enumeration DateMay 5, 2023
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1912696808 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.
601 S CONCORD ST STE 100, Knoxville, TN 37919
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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

Other Providers at the Same Location NPPES

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

JENNIFER DEVAULT WATSON CRNA
Nurse Anesthetist, Certified Registered
601 S CONCORD ST STE 100
KNOXVILLE, TN 37919
Knox County (865) 805-3118

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 865 Wellness Ketamine LLC's NPI number?

The NPI number for 865 Wellness Ketamine LLC is 1912696808. It was assigned to this organization in the NPPES registry on May 5, 2023.

Where is 865 Wellness Ketamine LLC located?

865 Wellness Ketamine LLC is located at 601 S Concord St Ste 100, Knoxville, TN 37919. The listed phone number is (865) 805-3118.

What is 865 Wellness Ketamine LLC'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 865 Wellness Ketamine LLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.