Individual provider Active NPI

Lisa Claire Loughery, CRNA

  • Certified Registered Nurse Anesthetist
  • Manahawkin, NJ
National Provider Identifier
1316942899
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NR10190000 Issued in NJ
Practice address
1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone
(609) 597-6011
NPI assigned
Jun 20, 2005
Last updated
May 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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 RN227018L PA
Certified Registered Nurse Anesthetist 367500000X 26NR10190000 NJ Primary

Addresses

Primary practice location

1140 Route 72 W
Manahawkin, NJ 08050-2412

Mailing address

PO Box 34672
Newark, NJ 07189-0001
Phone (201) 804-2800

Other identifiers 1

IdentifierTypeStateIssuer
50077111OtherPACAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000379 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608858469 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rgal Anesthesia Services LLCGroup PAC ID 7517130602, 126 clinicians
Ultracare Anesthesia Partners LLCGroup PAC ID 4082920525, 78 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

9500 Roosevelt Blvd
Philadelphia, PA 19115-3926
Phone (844) 448-5872

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR10190000NJMDCertified Registered Nurse Anesthetist
RN227018LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ultracare Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2019 Accepting new patients
Society Hill Anesthesia Consultants, PC CurrentSince Nov 19, 2018 Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Jan 22, 2024 Accepting new patients
Professional Anesthesia Services of North America P.C. Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2019 Accepting new patients
Clinical Pain Management Associates, PC Past Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Coastal Anesthesia Associates, PC Past Accepting new patients

Locations

2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300

1800 Byberry Rd
Ste 1101
Huntingdon Vy, PA 19006
Phone (215) 947-7992

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800

1280 Broadcasting Rd
Wyomissing, PA 19610
Phone (215) 949-3100

2752 Century Blvd
Wyomissing, PA 19610
Phone (610) 378-8800

Organizations & group practices 8

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1316942899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34672",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071890001",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502412",
            "telephone_number": "609-597-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHERY",
        "first_name": "LISA",
        "middle_name": "CLAIRE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN227018L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR10190000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE",
            "identifier": "50077111",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.