Active NPI
Lakeview Anesthesia
- Certified Registered Nurse Anesthetist
- Suffolk, VA
National Provider Identifier
1265677397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- LAKEVIEW ANESTHESIA
- Practice address
- 2000 Meade Pkwy
Suffolk, VA 23434-4259 - Phone
- (757) 539-0251
- Fax
- (757) 934-9497
- NPI assigned
- Dec 3, 2008
- Organization subpart
- Yes
- Parent organization
- LAKEVIEW MEDICAL CENTER, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christelle S Johnson
- Title
- Contract Analyst
- Phone
- (757) 934-9454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
2000 Meade Pkwy
Suffolk, VA 23434-4259
Mailing address
2000 Meade Pkwy
Suffolk, VA 23434-4259
Phone (757) 539-0251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45025 | Other | VA | OPTIMA HEALTH CARE |
National Provider Directory
National Provider Directory- Tax ID family
- Lakeview Medical Ctr-PA
- Part of
- Lakeview Medical Ctr-PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1417267410
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDJHBA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228262400000",
"number": "1265677397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MEADE PKWY",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344259",
"telephone_number": "757-539-0251",
"fax_number": "757-934-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEADE PKWY",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344259",
"telephone_number": "757-539-0251",
"fax_number": "757-934-9497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW ANESTHESIA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAKEVIEW MEDICAL CENTER, INC",
"enumeration_date": "2008-12-03",
"last_updated": "2008-12-03",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CHRISTELLE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CONTRACT ANALYST",
"authorized_official_telephone_number": "757-934-9454",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH CARE",
"identifier": "45025",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.