Provider Demographics
NPI:1124466842
Name:NEWPORT, KARI NICOLE (CRNA)
Entity type:Individual
Prefix:MS
First Name:KARI
Middle Name:NICOLE
Last Name:NEWPORT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 MEMBER LN STE 110
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1231
Mailing Address - Country:US
Mailing Address - Phone:865-934-2575
Mailing Address - Fax:
Practice Address - Street 1:1540 MEMBER LN STE 110
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1231
Practice Address - Country:US
Practice Address - Phone:658-934-2575
Practice Address - Fax:865-934-2576
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000017492367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered