Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ethan Dickson Graves, RN, CCRN

Individual provider Certified Registered Nurse Anesthetist · NPI 1164256913

Dr. Ethan Dickson Graves, RN, CCRN is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2024, 2 years ago. Practices with Lifelinc Anesthesia II, PLLC, a 43-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

5959 Park Ave
Memphis, TN 38119-5198
Phone: (901) 765-1000
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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 37177 (TN)

Record details

NPI number1164256913
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , CCRN
Sole proprietorNo
NPI enumeratedAugust 26, 2024
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lifelinc Anesthesia Ii, Pllc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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