MRS. IDA PERNELL CRNA NPI 1447201348

NPI Information

  • NPI: 1447201348
  • Provider Name: MRS. IDA PERNELL, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 1900 EXETER RD
    SUITE 210
    GERMANTOWN, TN
    ZIP 38138
  • Phone: (901) 818-2160

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NPI Details

MRS. Ida Pernell, CRNA is a nurse anesthetist certified registered in Germantown, TN. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. MRS. Ida Pernell, CRNA NPI is 1447201348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 EXETER RD
SUITE 210
GERMANTOWN, TN
ZIP 38138-954
Phone: (901) 818-2160
Fax: (901) 682-9522

The enumeration date for this NPI number is 5/15/2006 and was last updated on 6/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse044684TENNESSEENo
2367500000XNurse Anesthetist, Certified Registered8954TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100126210MEDICAIDMISSISSIPPI
24011478OTHERTENNESSEEBLUE CROSS
3430074179OTHERTENNESSEERAILROAD MEDICARE
498971OTHERARKANSASBLUE CROSS
53625361MEDICAIDTENNESSEE
63625362MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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