Individual provider Active NPI

Clarissa Lara, CRNA

  • Certified Registered Nurse Anesthetist
  • Harlingen, TX
National Provider Identifier
1508684606
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1176641 Issued in TX
Practice address
1702 N Ed Carey Dr
Harlingen, TX 78550-8202
Phone
(956) 423-4589
Fax
(956) 423-9574
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 1176641 TX Primary

Addresses

Primary practice location

1702 N Ed Carey Dr
Harlingen, TX 78550-8202

Mailing address

2039 County Rd 20B
Corpus Christi, TX 78415-6800
Phone (361) 537-6812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205002006 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486180155 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harlingen Anesthesia AssociatesGroup PAC ID 5294637112, 47 clinicians

Practice addresses (Care Compare)

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-2044

2220 Pease St
Harlingen, TX 78550-8308
Phone (956) 389-6000

Hospital & facility affiliations

  • Valley Baptist Medical Center- Brownsville Hospital, Brownsville, TX, CCN 450028
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1176641TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Harlingen Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2026 Accepting new patients
Harlingen Anesthesia Associates PastSince Oct 6, 2024 Accepting new patients

Locations

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

2220 Pease St
Harlingen, TX 78550
Phone (956) 389-6000

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

1702 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 423-4589

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1508684606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 COUNTY RD 20B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784156800",
            "telephone_number": "361-537-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508202",
            "telephone_number": "956-423-4589",
            "fax_number": "956-423-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "CLARISSA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1176641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.