Active NPI
Lori Stanton, CRNA
- Certified Registered Nurse Anesthetist
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN131489
- Practice address
- 1640 Airport Rd NW
Ste 110
Kennesaw, GA 30144-7038 - Phone
- (678) 202-2074
- Fax
- (770) 590-1442
- NPI assigned
- Jul 15, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2021018041 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 2016015968 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | RN131489 | GA | Primary |
Addresses
Primary practice location
1640 Airport Rd NW
Ste 110
Kennesaw, GA 30144-7038
Mailing address
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309-5219
Phone (404) 351-1754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 906922040 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021018041 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Umpqua Hospital District | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Lower Umpqua Hospital District | Current | Accepting new patients | |
| Lower Umpqua Hospital District | Current | Accepting new patients | |
| Georgia Anesthesia Providers LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Piedmont Anesthesia Associates, L.L.C | Past | Accepting new patients |
Locations
2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
385 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2119
600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- lstaton300765@direct.tgh.org
Organizations & group practices 7
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
- Milwaukie, OR
- NPI 1548281751
-
- Critical Access Hospital
- Reedsport, OR
- NPI 1003874819
-
- Community/Retail Pharmacy
- Reedsport, OR
- NPI 1336334754
-
- Rural Health Clinic/Center
- Reedsport, OR
- NPI 1619900370
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Certified Registered Nurse Anesthetist
- Marietta, GA
- NPI 1134366172
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1407856594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1629094248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1984 PEACHTREE RD NW",
"address_2": "STE 515",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303095219",
"telephone_number": "404-351-1754",
"fax_number": "404-351-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 AIRPORT RD NW",
"address_2": "STE 110",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447038",
"telephone_number": "678-202-2074",
"fax_number": "770-590-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "LORI",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2021018041",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2016015968",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN131489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "906922040",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.