Individual provider Active NPI

Lorraine Marie Haban, CRNA

  • Certified Registered Nurse Anesthetist
  • Petersburg, VA
National Provider Identifier
1477514040
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
939613 Issued in TX
Practice address
801 S Adams St
Petersburg, VA 23803-5133
Phone
(804) 862-5000
Fax
(804) 862-5948
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 939613 TX Primary
Certified Registered Nurse Anesthetist 367500000X 0024165854 VA

Addresses

Primary practice location

801 S Adams St
Petersburg, VA 23803-5133

Mailing address

3510 N Loop 1604 E
San Antonio, TX 78247-2303
Phone (210) 375-7790

Other identifiers 1

IdentifierTypeStateIssuer
010192391MedicaidVA

Other names 1

  • Lorraine Richards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
939613TXMDCertified Registered Nurse Anesthetist
0024165854VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Specialty Group PLLC Single Specialty Past Accepting new patients
Commonwealth Anesthesia Associates, P.C. Single Specialty Past Accepting new patients
Peninsula Anesthesia Consultants LLC Single Specialty Past Accepting new patients
Durham Anesthesia Associates PA Single Specialty Past Accepting new patients
Regional Anesthesia, PLLC Single Specialty Past Accepting new patients
Anesthesia Healthcare Partners, Inc. Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lorraine.haban.p1@direct.paneye.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1477514040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N LOOP 1604 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472303",
            "telephone_number": "210-375-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S ADAMS ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035133",
            "telephone_number": "804-862-5000",
            "fax_number": "804-862-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABAN",
        "first_name": "LORRAINE",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "939613",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024165854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010192391",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "RICHARDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.