Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtney Louise Lively-Manyam, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1093113722

Courtney Louise Lively-Manyam, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Chattanooga, Tennessee. Qualified in 2014, 12 years ago. Practices with Anesthesiology Consultants Exchange, PC, a 152-clinician group and accepts Medicare assignment. Licensed in Ohio, Pennsylvania and Tennessee.

Years since qualifying
12
Licensed in
OH, PA, TN
In the registry since
2014
Specialties on file
3
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

975 E 3rd St # C-235
Chattanooga, TN 37403-2147
Phone: (814) 243-0562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 20779 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN607077 (PA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN407225 (OH)

Record details

NPI number1093113722
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 11, 2014
Last updated in NPPESFebruary 27, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Anesthesiology Consultants Exchange, Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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