Ashley Wald Lafferty, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Sunrise, FL
NPI 1003165002 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1003165002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN9273261 (FL)
- Practice address
- 1613 Harrison Pkwy
Suite 200
Sunrise, FL 33323-2896 - Phone
- (954) 838-2588
- Fax
- (954) 514-3979
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Dynamics LLC
Advanced Surgery Center of Tallahassee, LLC
South Georgia Anesthesia Associates, PC
Practice addresses (Care Compare)
110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825
2535 Capital Medical Blvd
Suite 101
Tallahassee, FL 32308-4674
Phone (448) 230-2311
330 N Broad St
Suite D2
Thomasville, GA 31792-5195
Phone (912) 228-7034
915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 551-1883
Hospital & facility affiliations
- Archbold Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130315000249 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547405821 | Reassigns benefits to 6 organizations |
| I20160520001331 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547405821 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9273261 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital City Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Advanced Surgery Center of Tallahassee, LLC | Current |
Accepting new patients | |
| Advanced Surgery Center of Tallahassee, LLC | Current |
Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesiology Associates of Tallahassee, Inc. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| South Georgia Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesiology Associates of Tallahassee Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688
2010 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 552-0608
2173 Centerville Pl
Ste A
Tallahassee, FL 32308
2535 Capital Medical Blvd
Ste 101
Tallahassee, FL 32308
Phone (448) 230-2311
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
330 N Broad St
Ste D2
Thomasville, GA 31792
Phone (912) 228-7034
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN9273261 | FL | Yes |
Addresses
Primary practice location
1613 Harrison Pkwy
Suite 200
Sunrise, FL 33323-2896
Mailing address
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (954) 838-2588
Other providers in Sunrise, FL
- Brigitte Lacombe
- Ladilia Trifunovic DMD PLLC
- Guerline Ladouceur
- Norlene Lafavor
- Trahern Lafavor
- Johanne Lafleur
- Alvin Belarmino Lagarto
- Tisheka Laidley
- Elaine Joyce Gersava Lalisan
- Victor Lam
All providers in Sunrise, FL · Certified Registered Nurse Anesthetist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.