Active NPI
Lisa Ann Daniel, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 46267
- Practice address
- 2825 Randolph Rd
Charlotte, NC 28211-1018 - Phone
- (704) 337-1647
- NPI assigned
- Mar 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 115157 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024166512 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 46267 | NC | Primary |
Addresses
Primary practice location
2825 Randolph Rd
Charlotte, NC 28211-1018
Mailing address
2080 W Arlington Blvd
Suite B
Greenville, NC 27834-3770
Phone (252) 752-2140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010186161 | Medicaid | VA | |
| 1235190778 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115157 | NC | MD | Registered Nurse |
| 46267 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perioperative Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Current | Accepting new patients |
| Anesthesia Healthcare Partners, Inc. | Anesthesiology | Past | Accepting new patients |
| Piedmont Triad Anesthesia, PA | Anesthesiology | Past | Accepting new patients |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients |
Locations
1822 Brunswick Ave
Charlotte, NC 28207
Phone (704) 342-4323
2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140
2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140
4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Registered Nurse
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1023323128
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Winston-Salem, NC
- NPI 1467497081
-
- General Practice Physician
- Charlotte, NC
- NPI 1477627388
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1487626933
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Petersburg, VA
- NPI 1477501401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1235190778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 W ARLINGTON BLVD",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343770",
"telephone_number": "252-752-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111018",
"telephone_number": "704-337-1647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "115157",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024166512",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "46267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010186161",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235190778",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.