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

Individual provider Certified Registered Nurse Anesthetist · NPI 1013256809

Mrs. Stacey Ann Ryder, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kingsport, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2012, 14 years ago. Practices with Paragon Anesthesia PC, a 215-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2013
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

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 224-4000
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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 0 (TN)

Record details

NPI number1013256809
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 13, 2013
Last updated in NPPESFebruary 13, 2013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2012 (14 years in practice)
Group practice Paragon Anesthesia Pc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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