Provider Demographics
NPI:1548212632
Name:VEKASI, LINDA L (MSN- CRNA)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:VEKASI
Suffix:
Gender:F
Credentials:MSN- CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12752 KINGSTON PIKE
Mailing Address - Street 2:STE E202
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-0948
Mailing Address - Country:US
Mailing Address - Phone:865-777-0909
Mailing Address - Fax:865-777-0910
Practice Address - Street 1:550 FORT LOUDOUN MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37772-5673
Practice Address - Country:US
Practice Address - Phone:865-777-0909
Practice Address - Fax:865-777-0910
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9296367500000X
TN64931367500000X
TNRN64931/ARNP009296367500000X
KY6021A367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4113303OtherBLUE CROSS/BLUE SHIELD
KY7100100960Medicaid
TNP00332284OtherRAILROAD MEDICARE PIN
KYP00810611OtherRAILROAD MEDICARE PIN
TN4113303OtherBCBS TN
KY000000616167OtherBLUE CROSS/BLUE SHIELD
TN362375Medicaid
KY000000616167OtherBLUE CROSS/BLUE SHIELD
TN362375Medicaid
TN3626275Medicare PIN