Active NPI
Lisa S Grayson, CRNA
- Certified Registered Nurse Anesthetist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30005409
- Practice address
- 1100 9TH Ave
Seattle, WA 98101-2756 - Phone
- (206) 223-6600
- NPI assigned
- Mar 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | RN00107853 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP30005409 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Seattle, WA 98101-2756
Mailing address
1100 Olive Way
Ms M4 PA
Seattle, WA 98101-1873
Phone (206) 515-5811
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR4213 | Other | WA | INDIVIDUAL BLUE SHIELD |
| 430059540 | Other | WA | RAIL ROAD MEDICARE |
| 9617796 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005409 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Paceline Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335
1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627
12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122
33501 1st Way S
Federal Way, WA 98003
Phone (253) 838-2400
5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 268-0720
2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735
4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000
1100 Olive Way
#M4
Seattle, WA 98101
1100 9th Ave
#2
Seattle, WA 98101
Phone (206) 223-6980
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230
Interoperability endpoints
- lisa.grayson@direct.vmmc.org
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1417273780
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Certified Registered Nurse Anesthetist
- Seattle, WA
- NPI 1164586020
Nurse Anesthetist, Certified Registered
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1750358255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 OLIVE WAY",
"address_2": "MS M4 PA",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981011873",
"telephone_number": "206-515-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-223-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSON",
"first_name": "LISA",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "RN00107853",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30005409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BLUE SHIELD",
"identifier": "GR4213",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "430059540",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9617796",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.