Illuminate Ketamine Center PLLC
NPI 1649833062ActiveOrganization· Nurse Anesthetist, Certified Registered· Kingsport, TN
Nurse Anesthetist, Certified Registered in Kingsport, Tennessee, registered in NPPES in April 2019. The authorized official on file is Shelia Beasley, CRNA, Co-Owner/ President.
Overview
| NPI | 1649833062 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 22, 2019 |
| Last updated in NPPES | Mar 3, 2021 |
| Certified by provider | Mar 3, 2021 |
Specialties and licenses
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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