Organization Active NPI

Lakelands Nurse Anesthesia Services,LLC

  • Certified Registered Nurse Anesthetist
  • Greenwood, SC
National Provider Identifier
1700187184
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN210850 Issued in GA
Legal business name
LAKELANDS NURSE ANESTHESIA SERVICES,LLC
Practice address
213 Evergreen Dr
Greenwood, SC 29649-9222
Phone
(706) 650-1056
Fax
(706) 650-1056
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Mr. Martin KnightNPI 1902886880
Title
Owner
Phone
(706) 650-1056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN210850 GA Primary

Addresses

Primary practice location

213 Evergreen Dr
Greenwood, SC 29649-9222

Mailing address

213 Evergreen Dr
Greenwood, SC 29649-9222
Phone (706) 650-1056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1700187184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 EVERGREEN DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296499222",
            "telephone_number": "706-650-1056",
            "fax_number": "706-650-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 EVERGREEN DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296499222",
            "telephone_number": "706-650-1056",
            "fax_number": "706-650-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELANDS NURSE ANESTHESIA SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-650-1056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN210850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.