Active NPI
Lisa Beth Hicks, CRNA
- Certified Registered Nurse Anesthetist
- Lakewood, CO
National Provider Identifier
1609815042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRA-100053
- Practice address
- 7000 W Colfax Ave
Lakewood, CO 80214-5433 - Phone
- (303) 996-1188
- Fax
- (303) 996-1199
- NPI assigned
- Jun 4, 2006
- 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 | 26NR11715400 | NJ | |
| Certified Registered Nurse Anesthetist | 367500000X | CRA-100053 | CO | Primary |
Addresses
Primary practice location
7000 W Colfax Ave
Lakewood, CO 80214-5433
Mailing address
8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111-4727
Phone (303) 205-1090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18874541 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CRA-100053 | CO | MD | Certified Registered Nurse Anesthetist |
| 26NR11715400 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burlington Anesthesia Associates, PA | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Mount Holly, NJ
- NPI 1427096445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1609815042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 E MAPLEWOOD AVE",
"address_2": "STE 200",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114727",
"telephone_number": "303-205-1090",
"fax_number": "303-205-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W COLFAX AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802145433",
"telephone_number": "303-996-1188",
"fax_number": "303-996-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "LISA",
"middle_name": "BETH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR11715400",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "CRA-100053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18874541",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.