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

Mary Sandra Lathrem, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1306248604

Mary Sandra Lathrem, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Knoxville, Tennessee. Qualified in 2013, 13 years ago. Practices with West Florida Anesthesia Associates LLC, a 43-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Kentucky and Tennessee.

Years since qualifying
13
Licensed in
FL, KY, 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

256 Fort Sanders West Blvd
Knoxville, TN 37922-3355
Phone: (859) 699-9534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 62 Columbia St, Orlando, FL 32806-1115 — (321) 843-5851
  • 1916 James Downey Rd, Independence, MO 64057-1054 — (859) 699-9534

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 38874 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 3008752 (KY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence APRN9284688 (FL)

Record details

NPI number1306248604
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 18, 2014
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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 West Florida Anesthesia Associates Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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