Active NPI
Sarah Lis, CRNA
- Certified Registered Nurse Anesthetist
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 54454
- Practice address
- 113 Coyote Xing
Santa Fe, NM 87508-9375 - Phone
- (570) 510-6848
- NPI assigned
- Oct 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 43-558020-021 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 54454 | NM | Primary |
Addresses
Primary practice location
113 Coyote Xing
Santa Fe, NM 87508-9375
Mailing address
113 Coyote Xing
Santa Fe, NM 87508-9375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, KS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 Broadmoor Blvd NE
Unm Sandoval Regional Medical Cente
Rio Rancho, NM 87144-2100
Phone (505) 994-7000
Hospital & facility affiliations
- Lovelace Women'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43-558020-021 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Colleagues KS PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Netherlands Anesthesia, LLC | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients |
Locations
629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000
3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
7788 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 999-1600
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Anesthesiology Physician
- Las Vegas, NM
- NPI 1922603562
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- Anesthesiology Physician
- Chanute, KS
- NPI 1548813967
Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Alamogordo, NM
- NPI 1235948803
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1285101436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 COYOTE XING",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875089375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 COYOTE XING",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875089375",
"telephone_number": "570-510-6848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIS",
"first_name": "SARAH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-25",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-558020-021",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "54454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.