Active NPI
Lorie A Lisenby
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 085701
- Practice address
- 200 Hawthorne LN
Charlotte, NC 28204-2515 - Phone
- (704) 384-4000
- NPI assigned
- Jan 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 085701 | NC | Primary |
Addresses
Primary practice location
200 Hawthorne LN
Charlotte, NC 28204-2515
Mailing address
347 Lakehurst Farm Rd
Norwood, NC 28128-6498
Phone (704) 459-0030
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LLISENBY46070@DIRECT.NOVANTHEALTH.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E Grover St
Shelby, NC 28150-3917
Phone (980) 487-3000
Hospital & facility affiliations
- Stanly Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1906 | NC | MD | Optician |
| 085701 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients |
Locations
301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
Interoperability endpoints
- llisenby46070@direct.novanthealth.org
Organizations & group practices 5
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
- Charlotte, NC
- NPI 1346649415
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1487626933
Nurse Anesthetist, Certified Registered
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Certified Registered Nurse Anesthetist
- Albemarle, NC
- NPI 1528433596
Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albemarle, NC
- NPI 1104627926
-
- Psychiatric Hospital Unit
- Albemarle, NC
- NPI 1740081553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1578867313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 LAKEHURST FARM RD",
"city": "NORWOOD",
"state": "NC",
"postal_code": "281286498",
"telephone_number": "704-459-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042515",
"telephone_number": "704-384-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISENBY",
"first_name": "LORIE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "085701",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LLISENBY46070@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "200 Hawthorne Ln",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.