Individual provider Active NPI

Lisa Ramondetta

  • Certified Registered Nurse Anesthetist
  • Shelton, CT
National Provider Identifier
1275989832
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9147 Issued in CT
Practice address
2 Corporate Dr FL 9
Shelton, CT 06484-6238
Phone
(203) 929-7353
Fax
(203) 929-0756
NPI assigned
May 12, 2016
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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 109892 DC
Certified Registered Nurse Anesthetist 367500000X 9147 CT Primary

Addresses

Primary practice location

2 Corporate Dr FL 9
Shelton, CT 06484-6238

Mailing address

99 E River Dr FL 5
East Hartford, CT 06108-7301
Phone (860) 282-4104

Other practice location 1

110 Irving St NW
Washington, DC 20010-3017
Phone (860) 716-1259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160603000582 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325338320 Reassigns benefits to 3 organizations
I20210325000516 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325338320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9147CTMDSocial Worker
109892DCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Gi PLLC CurrentSince Jan 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Washington Hospital Center Corp CurrentSince Apr 25, 2016 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince May 1, 2018 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince May 1, 2018 Accepting new patients
Washington Hospital Center Corp CurrentSince Apr 25, 2016 Accepting new patients
Charter Anesthesiology LLC CurrentSince Dec 16, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

2 Corporate Dr
Fl 9
Shelton, CT 06484
Phone (203) 929-7375

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1275989832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR FL 5",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061087301",
            "telephone_number": "860-282-4104",
            "fax_number": "860-282-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR FL 9",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846238",
            "telephone_number": "203-929-7353",
            "fax_number": "203-929-0756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "860-716-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMONDETTA",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "109892",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "9147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.