Lisa Marie Scruggs, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

063793 Issued in NC

Practice address

809 82ND Pkwy
Myrtle Beach
Myrtle Beach, SC 29572

Phone

(843) 692-1750

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Mooresville Hospital Management Associates LLC

  dba Lake Norman Regional Medical Center

  • General Acute Care Hospital
  • Mooresville, NC
  • NPI 1073568754
  NPD (past)
• Mooresville Hospital Management Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Mooresville, NC
  • NPI 1548399827

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1396728242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PIONEER LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295770809",
            "telephone_number": "336-978-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "address_2": "MYRTLE BEACH",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "843-692-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "063793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050734",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott J Scafidi DC PA
• Caleb Vanguilder Scott
• Dominique Scott
• Jack Dwyer Scott, D.C.
• Kayla M Scott, SLP
• Sea One Family Chiropractic, P.a.
• Seabreeze Orthodontics
• Seacoast Opco LLC (Coastal Autism Academy)
• Seacoast Youth Academy
• Catherine Grace Searcy, CF-SLP

• Certified Registered Nurse Anesthetist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.