Active NPI
Joselynn Kristen Lavilla, CRNA
- Certified Registered Nurse Anesthetist
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 153394
- Practice address
- 4934 SW 166TH Ave
Miramar, FL 33027-4904 - Phone
- (954) 433-7689
- NPI assigned
- Jan 6, 2025
- Last updated
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 153394 | FL | Primary |
Addresses
Primary practice location
4934 SW 166TH Ave
Miramar, FL 33027-4904
Mailing address
4934 SW 166TH Ave
Miramar, FL 33027-4904
Phone (954) 433-7689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Musc Community Physicians
Practice addresses (Care Compare)
4070 Hwy 17
Suite 102
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000
506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153394 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidelands Anesthesia Group LLC | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Georgetown, SC
- NPI 1144017781
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tidelands Health Skilled Care
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
Hospital
-
dba Tidelands Georgetown Memorial Hospital
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1316756257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4934 SW 166TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274904",
"telephone_number": "954-433-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4934 SW 166TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274904",
"telephone_number": "954-433-7689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVILLA",
"first_name": "JOSELYNN",
"middle_name": "KRISTEN",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "153394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.