Individual provider Active NPI

Amy Lauren Lee, CRNA, DNP

  • Certified Registered Nurse Anesthetist
  • Flowood, MS
National Provider Identifier
1427648906
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
901685 Issued in MS
Practice address
1030 River Oaks Dr
Flowood, MS 39232-9553
Phone
(601) 932-1030
NPI assigned
Jan 19, 2021
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 901685 MS Primary

Addresses

Primary practice location

1030 River Oaks Dr
Flowood, MS 39232-9553

Mailing address

302 W Leake St
Clinton, MS 39056-4130
Phone (601) 317-8484

Other practice location 1

4506 Lakeland Dr
Flowood, MS 39232-9583
Phone (601) 714-2562

Other practice location 2

104 Burney Dr
Flowood, MS 39232-6621
Phone (601) 987-8200

Other practice location 3

350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (601) 825-2811

Other practice location 4

760 Lakeland Dr
Jackson, MS 39216-4610
Phone (601) 362-8700

Other practice location 5

161 River Oaks Dr
Canton, MS 39046-5375
Phone (601) 855-4000

Other names 1

  • Amy Lauren White Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210319000605 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557778537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perioperative Services of Mississippi, LLCGroup PAC ID 8921365255, 98 clinicians

Practice addresses (Care Compare)

1225 N State St
Ms Baptist Medical Center
Jackson, MS 39202-2064
Phone (601) 317-2802

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Perioperative Services of Mississippi, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

104 Burney Dr
Flowood, MS 39232
Phone (601) 987-8202

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

760 Lakeland Dr
Jackson, MS 39216
Phone (601) 362-8700

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1427648906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W LEAKE ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564130",
            "telephone_number": "601-317-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 RIVER OAKS DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329553",
            "telephone_number": "601-932-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4506 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329583",
            "country_code": "US",
            "telephone_number": "601-714-2562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Burney Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392326621",
            "country_code": "US",
            "telephone_number": "601-987-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Crossgates Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390422601",
            "country_code": "US",
            "telephone_number": "601-825-2811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164610",
            "country_code": "US",
            "telephone_number": "601-362-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 River Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390465375",
            "country_code": "US",
            "telephone_number": "601-855-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "AMY",
        "middle_name": "LAUREN",
        "credential": "CRNA, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "901685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WHITE",
            "middle_name": "LAUREN",
            "credential": "CRNA, DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.