Individual provider · Type 1 NPI

Autumn Samantha Longworth, CRNA

Certified Registered Nurse Anesthetist · Blountville, TN

NPI number 1386204329 Active

Practice location

273 Wine Cir
Blountville, TN 37617-4315

Mailing address

Dept 888618
Knoxville, TN 37995-0001

Other practice locations

  • 10415 Wallace Alley St, Kingsport, TN 37663-3936 · (423) 390-0451

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X27826 (TN)
Certified Registered Nurse Anesthetist 367500000X0024177740 (VA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

About NPI 1386204329

Autumn Samantha Longworth, CRNA's National Provider Identifier is 1386204329, issued on Jun 20, 2019. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Blountville, TN. The record was last updated on Oct 12, 2026.