Active NPI
Raymond Bolen Lanphere, CRNA
- Certified Registered Nurse Anesthetist
- Pensacola, FL
National Provider Identifier
1669444584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9303421
- Practice address
- 8383 N Davis Hwy
Pensacola, FL 32514-6039 - Phone
- (850) 494-6098
- Fax
- (850) 205-9502
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- 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 | ARNP9303421 | FL | Primary |
Addresses
Primary practice location
8383 N Davis Hwy
Pensacola, FL 32514-6039
Mailing address
2913 Sundance LN
Cantonment, FL 32533-9601
Phone (850) 450-7808
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 |
|---|---|---|---|
| ARNP9303421 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ft. Walton Beach Anesthesia Services LLC | 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
- Ft. Walton Beach, FL
- NPI 1245443829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1669444584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2913 SUNDANCE LN",
"city": "CANTONMENT",
"state": "FL",
"postal_code": "325339601",
"telephone_number": "850-450-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146039",
"telephone_number": "850-494-6098",
"fax_number": "850-205-9502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANPHERE",
"first_name": "RAYMOND",
"middle_name": "BOLEN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9303421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.