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

Katherine Mary Clark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1104364231

Katherine Mary Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Knoxville, Tennessee. Qualified in 2016, 10 years ago. Practices with University Anesthesiologists SC, a 152-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Washington.

Years since qualifying
10
Licensed in
TN, WA
In the registry since
2017
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

8913 Town And Country Cir # 1013
Knoxville, TN 37923-4931
Phone: (253) 861-0739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9205 122nd Ct Ne, Kirkland, WA 98033-5882 — (253) 861-0739

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 29557 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 60722768 (WA)

Record details

NPI number1104364231
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 9, 2017
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

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 University Anesthesiologists Sc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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