Lisa Ann Jericho, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN329971L Issued in PA

Practice address

333 Cottman Ave
Philadelphia, PA 19111-2497

Phone

(215) 707-3326

Fax

(215) 707-8028

NPI assigned

Oct 1, 2008

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 names 1

• Lisa Ann Blood Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Huntingdon Valley Anesthesia AssociatesGroup PAC ID 6406742642, 44 clinicians

Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

United Anesthesia Services PCGroup PAC ID 3173437613, 437 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
• Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
• Hospital of the Fox Chase Cancer Center Hospital, Philadelphia, PA, CCN 390196

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• Huntingdon Valley Anesthesia Associates

  • Specialist
  • Meadowbrook, PA
  • NPI 1710933114
  Medicare reassignment Care Compare group NPD
• Temple Faculty Practice Plan Inc

  dba Temple Faculty Anesthesiology Associates

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1881176949
  Medicare reassignment Care Compare group NPD
• United Anesthesia Services PC

  • Anesthesiology Physician
  • Wynnewood, PA
  • NPI 1053366062
  Medicare reassignment Care Compare group
• Society Hill Anesthesia Consultants, PC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1427003219
  Medicare reassignment NPD
• Temple Faculty Practice Plan, Inc

  dba Temple Faculty Neurosurgical Associates

  • Neurological Surgery Physician
  • Philadelphia, PA
  • NPI 1902389646
  NPD
• Temple Faculty Practice Plan Inc

  dba Temple Faculty Multi-Specialty at NJ

  • Urology Physician
  • Voorhees, NJ
  • NPI 1407638794
  NPD
• James F Noone MD PC

  • Specialist
  • Meadowbrook, PA
  • NPI 1699721001
  NPD (past)

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

• American Oncologic Hospital

  • Special Hospital
  • Philadelphia, PA
  • NPI 1730195017
  Care Compare affiliation
• Doylestown Hospital

  • General Acute Care Hospital
  • Doylestown, PA
  • NPI 1225091697
  Care Compare affiliation
• Holy Redeemer Health System

  dba Holy Redeemer Hospital & Medical Center

  • General Acute Care Hospital
  • Meadowbrook, PA
  • NPI 1750371522
  Care Compare affiliation

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1053562637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-3326",
            "fax_number": "215-707-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112497",
            "telephone_number": "215-707-3326",
            "fax_number": "215-707-8028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-349-8310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERICHO",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN329971L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BLOOD",
            "middle_name": "ANN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Esther L Jeong, D.P.T.
• Hee Won Jeong, CRNP
• Karen Min Jeong, CRNA
• William Sehee Jeong, DDS
• Mary Jepsen, PMHNP-BC
• Michael Joseph Jerjos, OD
• Kathleen Dalin Jerla, CRNP
• Jerold W. Miller, DDS, PC (Dentists On The Square)
• Stacey L Jeronis, MD
• Christine M Jerpbak, M.D.

• Certified Registered Nurse Anesthetist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.