Active NPI
Lisa D Henderson, CRNA
- Certified Registered Nurse Anesthetist
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 52984
- Practice address
- 302 University Blvd
Round Rock, TX 78665-1032 - Phone
- (512) 509-0200
- NPI assigned
- Nov 18, 2005
- Last updated
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 52984 | TX | Primary |
Addresses
Primary practice location
302 University Blvd
Round Rock, TX 78665-1032
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
1110 N Sarah DeWitt Dr
Gonzales, TX 78629-3311
Phone (830) 672-7581
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152834104 | Medicaid | TX | |
| 88060U | Other | BLUE CROSS | |
| 152834101 | Medicaid | TX | |
| 007150801 | Medicaid | TX | |
| 152834106 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lhenderson819767@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 University Dr E
420 Cardiac Cath Lab of Bryan College S
Bryan, TX 77802-3479
Phone (979) 485-9922
3801 N Lamar Blvd
Heart Hospital of Austin
Austin, TX 78756-4080
Phone (512) 407-7000
919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52984 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gonzales Healthcare Systems | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gonzales Healthcare Systems | Current | Accepting new patients | |
| Austin Anesthesiology Group PLLC | Current | Accepting new patients | |
| Austin Anesthesiology Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Westlake Anesthesia Group PA | Current | Accepting new patients | |
| Westlake Anesthesia Group PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gonzales Healthcare Systems | Current | Accepting new patients | |
| Grasshopper Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Balcones Anesthesiologists, P.a. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations (25 of 35)
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000
8140 N Mopac Expy
Ste 3-210
Austin, TX 78759
Phone (512) 343-2292
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888
3201 University Dr E
Ste 420
Bryan, TX 77802
Phone (979) 485-9922
704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424
1907 Cypress Creek Rd
Ste 108
Cedar Park, TX 78613
Phone (512) 294-2565
110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560
600 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-5571
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
1 Saint Marks Pl
La Grange, TX 78945
Phone (979) 242-2102
200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199
323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300
280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744
204 Gateway N
Ste B
Marble Falls, TX 78654
Phone (830) 798-1821
811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
2400 N Stallings Dr
Ste 405
Nacogdoches, TX 75964
3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
dba Sievers Medical Clinic
- Rural Health Clinic/Center
- Gonzales, TX
- NPI 1013916287
-
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
- NPI 1932635752
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Austin, TX
- NPI 1679511307
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
dba Memorial Hospital
- General Acute Care Hospital
- Gonzales, TX
- NPI 1508859612
-
dba Gonzales Professional Partners
- Diagnostic Radiology Physician
- Gonzales, TX
- NPI 1922856699
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Certified Registered Nurse Anesthetist
- Austin, TX
- NPI 1922048495
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Round Rock, TX
- NPI 1063463776
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lake Granbury Medical Center
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
dba Heart Hospital of Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1003898446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 UNIVERSITY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651032",
"telephone_number": "512-509-0200"
}
],
"practiceLocations": [
{
"address_1": "1110 N Sarah DeWitt Dr",
"address_purpose": "LOCATION",
"city": "Gonzales",
"state": "TX",
"postal_code": "786293311",
"country_code": "US",
"telephone_number": "830-672-7581",
"fax_number": "830-672-8481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "LISA",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "52984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152834104",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "88060U",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152834101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007150801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152834106",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lhenderson819767@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "302 University Blvd",
"city": "Round Rock",
"state": "TX",
"country_code": "US",
"postal_code": "786651032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.