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

Daniel Etheridge, CRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043649809

Daniel Etheridge, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bowling Green, Kentucky. Qualified in 2013, 13 years ago. Practices with Commonwealth Health Corporation, Inc, a 263-clinician group and accepts Medicare assignment. Licensed in Kentucky and Tennessee.

Years since qualifying
13
Licensed in
KY, TN
In the registry since
2013
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

250 Park St
Bowling Green, KY 42101-1760
Phone: (270) 393-1912
Fax: (270) 393-1913
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 3008449 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 155950 (TN)

Record details

NPI number1043649809
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 2, 2013
Last updated in NPPESJanuary 27, 2017
Mailing address825 2nd Ave, Suite C6, Bowling Green, KY 42101-1786

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Commonwealth Health Corporation, Inc. — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowling Green