RUSSELL EDWARD PROFFITT


Address: 2601 N John B Dennis Hwy, Apt. 1001, Kingsport, TN 37660-0812
Phone: 4233159306

RUSSELL EDWARD PROFFITT (NPI# 1124440128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124440128
Entity Type Individual
Full Name RUSSELL EDWARD PROFFITT
Credential CRNA, RN, BSN
Practice Address 2601 N John B Dennis Hwy
Apt. 1001
Kingsport
TN 37660-0812
Practice Telephone 4233159306
Mailing Telephone 4233159306
Enumeration Date 2014-01-09
Last Update Date 2014-05-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 18164 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2601 N JOHN B DENNIS HWY
APT. 1001
City KINGSPORT
State TN
Zip Code 37660-0812

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1831743392 Independent Physical Therapy Occupational Therapist 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 2019-08-01
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1053813527 Pulitzer Orthodontics, LLC Dentist 1200 Pulitzer Place, Kingsport, TN 37660 2018-03-01
1174038749 Sbh-kingsport Psychiatric Hospital 1025 Executive Park Blvd, Kingsport, TN 37660 2017-12-05
1548771447 Sara B Ball Registered Nurse 111 W Stone Dr Ste 240, Kingsport, TN 37660 2017-10-18
1821525361 Ashley Brook Weems Nurse Practitioner Six Sheridan Square Suite 100, Kingsport, TN 37660 2017-05-15
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy 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.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194162966 Teddy Harmon Davis Nurse Anesthetist, Certified Registered 2204 Pavilion Dr Ste 300, Kingsport, TN 37660-4653 2013-06-03
1366716136 Lindsey B Jones Nurse Anesthetist, Certified Registered 2204 Pavilion Dr # Dr300, Kingsport, TN 37660-4657 2012-02-27
1437436102 Northeast Tennesee Anesthesia Pllc Nurse Anesthetist, Certified Registered 10461 Wallace Alley Drive, Kingsport, TN 37663-3936 2011-11-09
1336444231 David J Arrowood Nurse Anesthetist, Certified Registered 13 W Ravine Rd, Kingsport, TN 37660-3831 2011-01-24
1245466721 John P Geaslin Nurse Anesthetist, Certified Registered 135 W. Ravine Rd - Ste 5-b, Kingsport, TN 37660-3847 2009-06-10
1972741296 Beth Mcelwee Faust Nurse Anesthetist, Certified Registered 1908 Granby Rd, Kingsport, TN 37665 2009-01-23
1922072990 Daniel Kris Guinn Nurse Anesthetist, Certified Registered 135 W Ravine, Suite 5-b, Kingsport, TN 37660-3847 2006-02-15
1487637484 Janice Carol Redmond Nurse Anesthetist, Certified Registered 2116 Memorial Ct, Kingsport, TN 37664-2629 2005-11-22
1205825528 Carol Ann Brown Nurse Anesthetist, Certified Registered 2000 Brookside Dr, Kingsport, TN 37660 2005-10-19
1265428734 Jared Y Robertson IIi Nurse Anesthetist, Certified Registered 3029 Wandering Dr, Kingsport, TN 37660-8758 2005-09-21
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City KINGSPORT
Zip Code 37660

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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