Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda R Roark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1386975738

Amanda R Roark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Johnson City, Tennessee. Qualified in 2009, 17 years ago. Practices with Smokey Mountain Anesthesia PC, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
17
Licensed in
TN
In the registry since
2010
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

601 Med Tech Pkwy
Johnson City, TN 37604-2253
Phone: (423) 610-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Medical Park Blvd, Bristol, TN 37620-7430 — (423) 844-2686
  • 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 — (423) 431-6111

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 82957 (TN)

Record details

NPI number1386975738
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 26, 2010
Last updated in NPPESApril 25, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Smokey Mountain Anesthesia Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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