Active NPI
Jessica Lightbody, CRNA
- Certified Registered Nurse Anesthetist
- Plymouth, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704272398
- Practice address
- 40777 Ann Arbor Rd E
Plymouth, MI 48170-4448 - Phone
- (800) 653-6568
- Fax
- (313) 876-1305
- NPI assigned
- Feb 4, 2014
- Last updated
- Mar 10, 2025
- Sex
- Female
- 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 | 4704272398 | MI | Primary |
Addresses
Primary practice location
40777 Ann Arbor Rd E
Plymouth, MI 48170-4448
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (800) 853-6568
Other practice location 1
2601 Electric Ave
Port Huron, MI 48060-6587
Phone (810) 985-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
39450 W 12 Mile Rd
Novi, MI 48377-3600
Phone (248) 344-8080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704272398 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Rochester Hospital | Current | Accepting new patients | |
| Henry Ford Health Rochester Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients |
Locations
7560 Solutions Ctr
Chicago, IL 60677
7920 Solutions Ctr Dr
Chicago, IL 60677
7924 Solutions Ctr Dr
Chicago, IL 60677
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-2300
40777 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 738-2073
1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Interoperability endpoints
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
- juban840432@direct.hfhs.org
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
Nurse Anesthetist, Certified Registered
-
dba St. John Macomb Hospital CRNAs
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1396789434
Nurse Anesthetist, Certified Registered
-
dba St. John Oakland Hospital CRNAs
- Certified Registered Nurse Anesthetist
- Madison Heights, MI
- NPI 1871793505
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1235252321
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1871986372
MI, Nurse Anesthetist, Certified Registered
-
dba Henry Ford Warren Hospital
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Family Medicine Physician
- Rochester, MI
- NPI 1184747263
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1730502261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "800-853-6568",
"fax_number": "313-876-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40777 ANN ARBOR RD E",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704448",
"telephone_number": "800-653-6568",
"fax_number": "313-876-1305"
}
],
"practiceLocations": [
{
"address_1": "2601 Electric Ave",
"address_purpose": "LOCATION",
"city": "Port Huron",
"state": "MI",
"postal_code": "480606587",
"country_code": "US",
"telephone_number": "810-985-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIGHTBODY",
"first_name": "JESSICA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-04",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704272398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.