Lisa W Green, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN0000016679 Issued in TN

Practice address

1009 Lark St
Suite 2
Johnson City, TN 37604-8217

Phone

(423) 283-0776

Fax

(423) 283-0549

NPI assigned

Jun 27, 2012

Last updated

May 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, WV2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triangle Anesthesia Group, PSCGroup PAC ID 9436161585, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Triangle Anesthesia Group PSC

  • Anesthesiology Physician
  • Hazard, KY
  • NPI 1124079314

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of West Virginia - South Charleston

  • Anesthesiology Physician
  • Princeton, WV
  • NPI 1063228120
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Appalachian Regional Healthcare, Inc

  dba ARH Specialty Associates - Middlesboro

  • Multi-Specialty Clinic/Center
  • Middlesboro, KY
  • NPI 1801403092

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba Middlesboro ARH Hospital

  • General Acute Care Hospital
  • Middlesboro, KY
  • NPI 1891792495
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba ARH Middlesboro Internal Medicine Clinic

  • Internal Medicine Physician
  • Middlesboro, KY
  • NPI 1932415882

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1003170754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3727",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376023727",
            "telephone_number": "423-283-0776",
            "fax_number": "423-283-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 LARK ST",
            "address_2": "SUITE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048217",
            "telephone_number": "423-283-0776",
            "fax_number": "423-283-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LISA",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000016679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529853",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Green, DO
• Carla L Green, APN
• James Green
• Jessica Beth Green
• Kathie Ann Green, CMSW
• Alexis Greene
• Ashley Greene
• Brenda G. Greene, RN
• Johnathan Seth Greene, CRNA
• Mark Alan Greene

• Certified Registered Nurse Anesthetist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.