Provider Demographics
NPI:1558314526
Name:STEANSON, JAMES D (CRNA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:STEANSON
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 291264
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37229-1264
Mailing Address - Country:US
Mailing Address - Phone:615-620-2320
Mailing Address - Fax:615-620-2323
Practice Address - Street 1:235 MEDICAL CENTER BLVD
Practice Address - Street 2:THE ENDOSCOPY CENTER OF BRISTOL
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620
Practice Address - Country:US
Practice Address - Phone:423-230-3177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAPNCO2776367500000X
IN28189794A367500000X
OK97362367500000X
TNRN 113440163W00000X
TNAPN 11401367500000X
KYARNP6026A367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4129317OtherBLUE CROSS/BLUE SHIELD OF TN - INTEGRATED
TN01241180OtherAMERIGROUP TENNCARE - NON PAR
TN36311119Medicaid
TN4216821OtherBLUE CROSS/BLUE SHIELD OF TN - SAS
TN36311119Medicaid