Kingsport Anesthesia Associates LLC
NPI 1245777036ActiveOrganization· Nurse Anesthetist, Certified Registered· Kingsport, TN
Nurse Anesthetist, Certified Registered in Kingsport, Tennessee, registered in NPPES in January 2017. The authorized official on file is Phillip Clendenin, President.
Overview
| NPI | 1245777036 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2017 |
| Last updated in NPPES | Jan 31, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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