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

Individual provider Certified Registered Nurse Anesthetist · NPI 1104245638

Trey Vanzant, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kingsport, Tennessee. Qualified in 2014, 12 years ago. Practices with Paragon Anesthesia PC, a 215-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Licensed in
TN
In the registry since
2014
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
Fax: (423) 224-4746
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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 170310 (TN)

Record details

NPI number1104245638
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 13, 2014
Last updated in NPPESApril 21, 2017
Mailing address105 W Stone Dr, Suite 6a, Kingsport, TN 37660-3365

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Paragon Anesthesia Pc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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