JARED Y ROBERTSON III (NPI# 1265428734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265428734 |
| Entity Type | Individual |
| Full Name | JARED Y ROBERTSON III |
| Credential | CRNA |
| Practice Address |
3029 Wandering Dr Kingsport TN 37660-8758 |
| Practice Telephone | 4232887447 |
| Mailing Telephone | 4232887447 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | 144482 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 71550 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 5201 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 3625 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 24167318 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 4858A | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 10597 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 100045319 | 05 | |
| ANTHEM BCBS | 146158 | 01 | |
| BLUE SHIELD OF TN | 4081487 | 01 | |
| NHC CARE ADMINISTRATORS | 00013859 | 01 | |
| TN | 3632282 | 05 | |
| VA | 010103894 | 05 | |
| KY | 74008541 | 05 | |
| JOHN DEERE | TN0100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316406572 | Jared Young Robertson Iv | Student in an Organized Health Care Education/Training Program | 1542 Tulane Ave, New Orleans, LA 70112-2865 | 2019-03-18 |
| 1871069153 | Jared Levon Robertson | Nurse Practitioner | 211 Cherry Ave, Oakley, KS 67748-1218 | 2018-10-15 |
| 1073918413 | Jared Robertson | Physician Assistant | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2014-10-28 |
| 1942565270 | Jared Robertson | Dentist | 10000 Coors Byp Nw, Suite G218, Albuquerque, NM 87114-4040 | 2012-07-12 |
| Street Address |
3029 WANDERING DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-8758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 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 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124440128 | Russell Edward Proffitt | Nurse Anesthetist, Certified Registered | 2601 N John B Dennis Hwy, Apt. 1001, Kingsport, TN 37660-0812 | 2014-01-09 |
| 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 |
| Find all providers in KINGSPORT | ||||
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| 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.