Individual provider Active NPI

Lisa D Henderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Round Rock, TX
National Provider Identifier
1003898446
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
52984 Issued in TX
Practice address
302 University Blvd
Round Rock, TX 78665-1032
Phone
(512) 509-0200
NPI assigned
Nov 18, 2005
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
152834104MedicaidTX
88060UOtherBLUE CROSS
152834101MedicaidTX
007150801MedicaidTX
152834106MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lhenderson819767@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000091 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315957693 Reassigns benefits to 6 organizations

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
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

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

LicenseStateTypeSpecialty
52984TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gonzales Healthcare Systems Current Accepting new patients
Scott & White Clinic Current Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Gonzales Healthcare Systems CurrentSince Dec 3, 2022 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince May 1, 2022 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Westlake Anesthesia Group PA CurrentSince Mar 19, 2012 Accepting new patients
Westlake Anesthesia Group PA Nurse Anesthetist, Certified Registered CurrentSince Mar 19, 2012 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2017 Accepting new patients
Gonzales Healthcare Systems CurrentSince Dec 3, 2022 Accepting new patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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

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.

Verify at the official NPI Registry.