Active NPI
Lori Crystal Woullard-Breland, CRNA
- Certified Registered Nurse Anesthetist
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9456859
- Practice address
- 415 S 28TH Ave
Hattiesburg, MS 39401-7246 - Phone
- (601) 261-3606
- Fax
- (601) 579-5383
- NPI assigned
- Jul 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R859468 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN9456859 | FL | Primary |
Addresses
Primary practice location
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 579-5463
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3476675 | Other | MS | UNITED HEALTHCARE |
| 9369843 | Other | MS | AETNA |
| 07527007 | Medicaid | MS | |
| 6655503 | Other | MS | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, KY, IN, GA, AL, FL, SC
Enrollment records 7
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120706000338 | MS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284899733 | Reassigns benefits to 2 organizations |
| I20140730000525 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284899733 | Reassigns benefits to 1 organization |
| I20151125000027 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284899733 | Reassigns benefits to 1 organization |
| I20171102002004 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284899733 | Reassigns benefits to 3 organizations |
| I20180710000126 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284899733 | Reassigns benefits to 3 organizations |
| I20200810001839 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284899733 | Reassigns benefits to 2 organizations |
| I20250819003333 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4284899733 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ams of Crestview LLCMusc Community PhysiciansAmsol Anesthetists of Georgia, LLC
Practice addresses (Care Compare)
151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400
4401 River Chase Dr
Phenix City, AL 36867-7483
Phone (334) 732-3010
Hospital & facility affiliations
- North Okaloosa Medical Center
- Musc Medical Center
- Jack Hughston Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.64 of 100
- Quality
- 56.63
- Improvement activities
- 40
- Cost
- 74.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9456859 | FL | MD | Certified Registered Nurse Anesthetist |
| R859468 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| University of South Alabama | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of South Alabama | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams of Crestview LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Georgia - TCS, PC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Epix Anesthesia of Alabama LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| McComb Anesthesia Associates, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Claire Medical Center, Inc., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| St. Claire Medical Center Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsol Anesthetists of Georgia LLC-Hughston Surgical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Montgomery Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Indiana II, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393
215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
Organizations & group practices 27
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
- Pensacola, FL
- NPI 1588927982
FL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- McComb, MS
- NPI 1619916533
MS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Roswell, GA
- NPI 1629427059
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1033926191
GA
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
MS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1043281553
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1629475421
IN, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
KY, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
Hospital
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
Hospital
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
Hospital
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
Hospital
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
Hospital
-
- General Acute Care Hospital
- Phenix City, AL
- NPI 1023050101
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1467749754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-579-5463",
"fax_number": "601-579-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S 28TH AVE",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017246",
"telephone_number": "601-261-3606",
"fax_number": "601-579-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOULLARD-BRELAND",
"first_name": "LORI",
"middle_name": "CRYSTAL",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R859468",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9456859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3476675",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9369843",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07527007",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6655503",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.