Individual provider Active NPI

Lisa Ann Adams, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1265466817
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9447997 Issued in FL
Practice address
14547 Bruce B Downs Blvd
Tampa, FL 33613
Phone
(813) 978-1494
NPI assigned
Jul 10, 2006
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9447997 FL Primary
Anesthesiology Physician 207L00000X 102699 TX

Addresses

Primary practice location

14547 Bruce B Downs Blvd
Tampa, FL 33613

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7539
Phone (352) 567-0188

Other practice location 1

2453 La Rochelle Ct
Seabrook, TX 77586-8315
Phone (504) 905-9868

Other practice location 2

2453 La Rochelle Ct
Seabrook, TX 77586-8315
Phone (504) 905-9868

Other identifiers 1

IdentifierTypeStateIssuer
102699OtherTXSTATE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170503001018 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759399694 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

204 B E 19TH St
Panama City, FL 32405-4707
Phone (850) 769-7599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
102699TXMDSpeech-Language Pathologist
APRN9447997FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Apr 24, 2017 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Apr 24, 2017 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Affiliated Tampa Anesthesia Associates, LLC Anesthesiology CurrentSince Feb 15, 2023 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
St Lucie Anesthesia Associates LLC Anesthesiology CurrentSince Sep 21, 2017 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Aug 1, 2017 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince Sep 9, 2019 Accepting new patients
St. Lucie Anesthesia Associates, LLC Anesthesiology CurrentSince Sep 21, 2017 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince Sep 9, 2019 Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Affiliated Tampa Anesthesia Associates, LLC Anesthesiology PastSince Apr 6, 2023 Accepting new patients
Mercy Tyler Health Systems Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

14547 Bruce B Downs Blvd
Tampa, FL 33613
Phone (800) 242-5080

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

17510 W Grand Pkwy S
Ste 200
Sugar Land, TX 77479
Phone (281) 238-1600

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1265466817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427539",
            "telephone_number": "352-567-0188",
            "fax_number": "813-355-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14547 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-978-1494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2453 La Rochelle Ct",
            "address_purpose": "LOCATION",
            "city": "Seabrook",
            "state": "TX",
            "postal_code": "775868315",
            "country_code": "US",
            "telephone_number": "504-905-9868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2453 La Rochelle Ct",
            "address_purpose": "LOCATION",
            "city": "Seabrook",
            "state": "TX",
            "postal_code": "775868315",
            "country_code": "US",
            "telephone_number": "504-905-9868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9447997",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "102699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "102699",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.