Lanorvell Robertson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R036279 Issued in MD

Practice address

1110 Professional CT
Hagerstown, MD 21740-5826

Phone

(240) 420-5559

Fax

(240) 420-3786

NPI assigned

Sep 20, 2005

Last updated

May 7, 2010By the provider in NPPES

Sex

Male

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

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.

• Blue Ridge Anesthesia Associates LLC

  • Anesthesiology Physician
  • Hagerstown, MD
  • NPI 1407964646

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1396730917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790058",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790058",
            "telephone_number": "636-549-2380",
            "fax_number": "314-569-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PROFESSIONAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405826",
            "telephone_number": "240-420-5559",
            "fax_number": "240-420-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LANORVELL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R036279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "KCB1CH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD (GRP PTAN CJ8689)",
            "identifier": "P00811167",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCIARE RAILROAD (GRP PTAN DD6120)",
            "identifier": "P00745079",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "S417-0037",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Winebrenner D.D.S. P.a. (Valley Dental Associates)
• Caileigh Elizabeth Roberts, ATC, PA-C
• Christina L Roberts
• Ethan Roberts, PHYSICAL THERAPIST
• August William Robertson, CST
• Logan Harrison Robertson
• Maecy C Robertson
• Robert James Robertson, DDS
• Bianca Robinson, CRNP
• Billie Jo Robinson, R.N.

• Certified Registered Nurse Anesthetist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Certified Registered Nurse Anesthetist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.