Active NPI
Lisa D Vallely, CRNA
- Certified Registered Nurse Anesthetist
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN174251
- Practice address
- 2000 Palmyra Rd
Albany, GA 31701-1528 - Phone
- (229) 434-2161
- Fax
- (229) 434-2502
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | RN174251 | GA | Primary |
Addresses
Primary practice location
2000 Palmyra Rd
Albany, GA 31701-1528
Mailing address
2000 Palmyra Rd
Albany, GA 31701-1528
Phone (229) 434-2161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466225647A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN174251 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| RPB Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Palmyra Professional Fees LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
1317 4th Ave S
Birmingham, AL 35233
Phone (205) 458-5000
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1851865984
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Albany, GA
- NPI 1437140084
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1841298999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1174514715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PALMYRA RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011528",
"telephone_number": "229-434-2161",
"fax_number": "229-434-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PALMYRA RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011528",
"telephone_number": "229-434-2161",
"fax_number": "229-434-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLELY",
"first_name": "LISA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN174251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466225647A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.