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

Clinton Peterman, CRNA

Individual provider Registered Nurse · NPI 1588108328

Clinton Peterman, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Cookeville, Tennessee. Qualified in 2016, 10 years ago. Practices with Lifelinc Anesthesia VIII PLLC, a 152-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Licensed in
TN
In the registry since
2016
Specialties on file
2
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

1019 River Bend Dr
Cookeville, TN 38506-5975
Phone: (931) 397-5724
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 22180 (TN)
Registered Nurse Taxonomy 163W00000X · Licence RN000177585 (TN)

Record details

NPI number1588108328
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedDecember 13, 2016
Last updated in NPPESJuly 19, 2017
Mailing address1019 River Bend Dr, Cookeville, TN 38506-5975

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lifelinc Anesthesia Viii Pllc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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