Individual provider Active NPI

Janet Lavalle, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort George G Meade, MD
National Provider Identifier
1265473946
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R138878 Issued in MD
Practice address
2480 Llewellyn Ave Ste 5800
Fort George G Meade, MD 20755-5129
Phone
(301) 677-8798
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R138878 MD Primary

Addresses

Primary practice location

2480 Llewellyn Ave Ste 5800
Fort George G Meade, MD 20755-5129

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

Other identifiers 1

IdentifierTypeStateIssuer
684701300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050113000969 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608825971 Reassigns benefits to 1 organization
I20050121000193 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608825971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Anesthesiology Associate PA CurrentSince Jun 1, 2025 Accepting new patients
Meridian Anesthesia Practice, L.L.C Past Accepting new patients
Loudoun Anesthesia Associates Past Accepting new patients
Comprehensive Pain and Anesthesia Services, PA Past Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Carroll County Anesthesia Associates, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

4000 Blackburn Ln
Burtonsville, MD 20866
Phone (301) 421-4241

4000 Blackburn Ln
Ste 220
Burtonsville, MD 20866
Phone (262) 888-8186

3801 International Dr
Ste 300
Silver Spring, MD 20906
Phone (301) 598-5100

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1265473946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE STE 5800",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "207555129",
            "telephone_number": "301-677-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLE",
        "first_name": "JANET",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R138878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "684701300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort George G Meade, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.

Verify at the official NPI Registry.