Active NPI
Liza Phillips
- Certified Registered Nurse Anesthetist
- Ball, LA
National Provider Identifier
1255179487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 916109
- Practice address
- 5122 Moser Dr
Ball, LA 71405-3668 - Phone
- (740) 222-2666
- NPI assigned
- Jul 20, 2024
- Last updated
- Jul 20, 2024
- 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 | 916109 | LA | Primary |
Addresses
Primary practice location
5122 Moser Dr
Ball, LA 71405-3668
Mailing address
5122 Moser Dr
Ball, LA 71405-3668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1444 Peterman Dr
Alexandria, LA 71301-3432
5122 Moser Dr
Ball, LA 71405-3668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 916109 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Louisiana Anesthesia Consultants, Apmc | Current | Accepting new patients |
Locations
1444 Peterman Dr
Alexandria, LA 71301
Phone (318) 442-5399
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
Organizations & group practices 1
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
- Alexandria, LA
- NPI 1205888914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1255179487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5122 MOSER DR",
"city": "BALL",
"state": "LA",
"postal_code": "714053668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5122 MOSER DR",
"city": "BALL",
"state": "LA",
"postal_code": "714053668",
"telephone_number": "740-222-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "LIZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-20",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "916109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ball, LA
- Louisiana Mobility of Central la, Inc (Zurcare)
- Mary Leneil Mercer, LPC
- National Birth Centers, Inc.
- L. Stephen Ortego, DDS
- Paradise Children's Clinic of Louisiana LLC (Paradise Children's Clinic)
- Pinecrest Supports and Services Center (Oak Run Community Home)
- Private Healthcare Facilities
- Robert Allen Ray, RPH
- Rays Investments Inc (Ray's Pharmacy)
- Si Roaten, R.T. (R)(CT)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.