Active NPI
Lisa Marie Elia, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
National Provider Identifier
1528183407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9254500
- Practice address
- 2 Columbia Dr
Suite A327
Tampa, FL 33606-3508 - Phone
- (813) 844-4396
- Fax
- (813) 488-4972
- NPI assigned
- Mar 20, 2007
- Last updated
- Jun 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9254500 | FL | Primary |
Addresses
Primary practice location
2 Columbia Dr
Suite A327
Tampa, FL 33606-3508
Mailing address
2 Columbia Dr
Suite A327
Tampa, FL 33606-3508
Phone (813) 844-4396
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308256300 | Medicaid | FL | |
| G4218 | Other | FL | FL BCBS |
| 7883889 | Other | FL | AETNA PIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9254500 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Gulf to Bay Anesthesiology Associates PSC | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Lake Orion, MI
- NPI 1184839839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1528183407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COLUMBIA DR",
"address_2": "SUITE A327",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063508",
"telephone_number": "813-844-4396",
"fax_number": "813-488-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COLUMBIA DR",
"address_2": "SUITE A327",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063508",
"telephone_number": "813-844-4396",
"fax_number": "813-488-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIA",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9254500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308256300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BCBS",
"identifier": "G4218",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "7883889",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.