Individual provider Active NPI

Lori Stanton, CRNA

  • Certified Registered Nurse Anesthetist
  • Kennesaw, GA
National Provider Identifier
1629094248
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN131489 Issued in GA
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

Updated by the provider on Jun 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
906922040MedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000524 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214970094 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2021018041MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Umpqua Hospital District CurrentSince May 12, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Aug 1, 2022 Accepting new patients
Lower Umpqua Hospital District CurrentSince May 12, 2024 Accepting new patients
Lower Umpqua Hospital District CurrentSince Nov 6, 2025 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

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.