Individual provider Active NPI

Lisa K Boyd, CRNA

  • Certified Registered Nurse Anesthetist
  • Tijeras, NM
National Provider Identifier
1457376907
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA00517 Issued in NM
Practice address
42 Eagle TRL
Tijeras, NM 87059-7601
Phone
(505) 917-1480
NPI assigned
Jul 13, 2006
Last updated
Apr 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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 CRNA00517 NM Primary

Addresses

Primary practice location

42 Eagle TRL
Tijeras, NM 87059-7601

Mailing address

36 Paseo VLG
Clovis, NM 88101-3163
Phone (505) 917-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050422000205 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183526015 Reassigns benefits to 4 organizations
I20081115000033 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183526015 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA00517NMMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince May 29, 2018 Accepting new patients
St. Vincent Hospital CurrentSince Sep 16, 2024 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Jun 12, 2019 Accepting new patients
Amsurg Santa Fe Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Northstar Anesthesia of Nebraska LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
St Vincent Hospital Current Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
St Vincent Hospital Nurse Anesthetist, Certified Registered CurrentSince Sep 16, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc Past Accepting new patients
Anesthesia Partners, LTD. Past Accepting new patients
Northwest Kansas Pain & Anesthesia, PA Past Accepting new patients
Lone Star Anesthesia Consultants PLLC Past Accepting new patients
DM Anesthetists of Il, LLC Past Accepting new patients
Roswell Clinic Corp Past Accepting new patients
Texas Anesthesia Specialists PA Nurse Anesthetist, Certified Registered Past Accepting new patients
North Platte Nebraska Physician Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiologist Associates of Hays, PA Past Accepting new patients
Amsol Anesthetists of Illinois, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

1630 Hospital Dr
Ste A
Santa Fe, NM 87505
Phone (505) 982-5014

2990 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 428-5400

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1457376907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PASEO VLG",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013163",
            "telephone_number": "505-917-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 EAGLE TRL",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870597601",
            "telephone_number": "505-917-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA00517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tijeras, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.