Lisa A Brascho, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Anniston, AL
NPI 1699725473 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699725473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 1-058973 (AL)
- Practice address
- 400 E 10TH St
Anniston, AL 36207-4716 - Phone
- (256) 235-5190
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050215000352 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6800848177 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-058973 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates | Current |
Accepting new patients | |
| Anesthesiologists Associated PC | Current |
Accepting new patients | |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Gadsden HB Medical Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382
200 Broad St
Ste 300
Gadsden, AL 35901
Phone (256) 846-8281
1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000
1 Commerce Sq
Gadsden, AL 35901
604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-058973 | AL | Yes |
Addresses
Primary practice location
400 E 10TH St
Anniston, AL 36207-4716
Mailing address
PO Box 10484
Birmingham, AL 35202-0484
Phone (205) 322-1808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051556629 | Medicaid | AL | |
| 51530494 | Other | AL | BLUE SHIELD |
| 051525875 | Medicaid | AL | |
| 51074344 | Other | AL | BLUE SHIELD |
| 51525875 | Other | AL | BLUE SHIELD |
| P00200457 | Other | PALMETTO GBA - RR MEDICAR |
Other names
- Lisa A Adcock
Other providers in Anniston, AL
- Robert Clark Boullemet
- Boyce a Callahan DC PC
- Braden Richmond, MD,PC
- Sabrina Bragg
- Andrea Fant Branch
- Brett B Farr LLC
- Robin D Bridges
- Daisha Bristow
- Brittany Stevens Counseling, LLC
- Cori Clark Broadhead
All providers in Anniston, AL · Certified Registered Nurse Anesthetist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.