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

Steven Eric Vandiver, RN

Individual provider Registered Nurse · NPI 1104421213

Steven Eric Vandiver, RN is a Certified Registered Nurse Anesthetist (CRNA) in Kingsport, Tennessee. Graduated from Virginia Commonwealth University, School of Medicine in 2020, 6 years ago. Practices with Paragon Anesthesia PC, a 215-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
TN
In the registry since
2020
Specialties on file
2
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

10415 Wallace Alley St
Kingsport, TN 37663-3936
Phone: (423) 390-0451
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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 29061 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 215987 (TN)

Record details

NPI number1104421213
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedDecember 4, 2020
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Paragon Anesthesia Pc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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