Individual provider Active NPI

Lisa J Denning-Tate, CRNA

  • Certified Registered Nurse Anesthetist
  • Gainesville, FL
National Provider Identifier
1700118692
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN1983962 Issued in FL
Practice address
6400 W Newberry Rd
Suite 302
Gainesville, FL 32605-6604
Phone
(352) 416-1082
Fax
(352) 373-6144
NPI assigned
Feb 3, 2010
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN1983962 FL Primary
Certified Registered Nurse Anesthetist 367500000X 1983962 FL

Addresses

Primary practice location

6400 W Newberry Rd
Suite 302
Gainesville, FL 32605-6604

Mailing address

4881 NW 8TH Ave
Suite 2
Gainesville, FL 32605-4582
Phone (352) 416-1082

Other identifiers 1

IdentifierTypeStateIssuer
001794100MedicaidFL

Other names 1

  • Lisa J Denning Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000258 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961539994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.47 of 100Reported as group
Quality
69.28
Promoting interoperability
72
Improvement activities
30
Cost
81.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1983962FLMDCertified Registered Nurse Anesthetist
APRN1983962FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Associates CurrentSince Aug 21, 2015 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 22, 2017 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 22, 2017 Accepting new patients
Ft. Walton Beach Anesthesia Services LLC Past Accepting new patients
Cypress Health Systems Florida Inc. Past Accepting new patients

Locations

6400 W Newberry Rd
Ste 302
Gainesville, FL 32605
Phone (352) 331-8902

6400 W Newberry Rd
Ste 308
Gainesville, FL 32605
Phone (352) 331-8902

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1700118692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 NW 8TH AVE",
            "address_2": "SUITE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054582",
            "telephone_number": "352-416-1082",
            "fax_number": "352-373-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD",
            "address_2": "SUITE 302",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056604",
            "telephone_number": "352-416-1082",
            "fax_number": "352-373-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNING-TATE",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN1983962",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "1983962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001794100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DENNING",
            "middle_name": "J",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.