Active NPI
Jimmy Lott, CRNA
- Certified Registered Nurse Anesthetist
- Papillion, NE
National Provider Identifier
1366479552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 45041
- Practice address
- 11111 South 84TH Street
Papillion, NE 68046 - Phone
- (402) 593-3830
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 45041 | NE | Primary |
Addresses
Primary practice location
11111 South 84TH Street
Papillion, NE 68046
Mailing address
413 Elk Ridge Drive
Papillion, NE 68046-4324
Phone (402) 339-3720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45041 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Anesthesia Associates LLC | Past | Accepting new patients | |
| Northwest Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Affiliates Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Orthopaedic Anesthesia Specialists, LLC | Past | Accepting new patients | |
| Northeast Missouri Ambulatory Surgery Center LLC | Past | Accepting new patients |
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
- Papillion, NE
- NPI 1649285032
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1891803300
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1467492207
-
- Anesthesiology Physician
- Hannibal, MO
- NPI 1023016714
-
- Ambulatory Surgical Clinic/Center
- Hannibal, MO
- NPI 1710982699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366479552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 ELK RIDGE DRIVE",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464324",
"telephone_number": "402-339-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 SOUTH 84TH STREET",
"city": "PAPILLION",
"state": "NE",
"postal_code": "68046",
"telephone_number": "402-593-3830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "JIMMY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "45041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.