Provider Demographics
NPI:1790396000
Name:CARICO, JOSHUA RAY (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:RAY
Last Name:CARICO
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:897 DARWIN ST
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-2305
Mailing Address - Country:US
Mailing Address - Phone:865-387-6847
Mailing Address - Fax:
Practice Address - Street 1:1924 ALCOA HWY # U109
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-305-9220
Practice Address - Fax:865-305-9216
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28186367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered