Individual provider Active NPI

Lisa Marie Harrison, C.R.N.A

  • Certified Registered Nurse Anesthetist
  • Vancouver, WA
National Provider Identifier
1760439079
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11007322 Issued in FL
Practice address
2211 NE 139TH St
Room 2C117
Vancouver, WA 98686-2742
Phone
(360) 487-2500
Fax
(369) 487-2539
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 AP30006523 WA
Certified Registered Nurse Anesthetist 367500000X APRN11007322 FL Primary

Addresses

Primary practice location

2211 NE 139TH St
Room 2C117
Vancouver, WA 98686-2742

Mailing address

2211 NE 139TH St
Room 2C117
Vancouver, WA 98686-2742
Phone (360) 487-2500

Other practice location 1

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000

Other names 1

  • Ms. Lisa Marie Small Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20031230000606 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850299686 Reassigns benefits to 4 organizations
I20200122003232 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850299686 Reassigns benefits to 3 organizations
I20221020001360 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850299686 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Oregon Anesthesiology Group PCGroup PAC ID 3476451659, 239 clinicians
Pinellas County Anesthesia Associates, LLCGroup PAC ID 3779971734, 62 clinicians
FMFL Anesthesia LLCGroup PAC ID 1153752811, 15 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Suite 102
Orlando, FL 32825-3710
Phone (407) 506-0006

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (360) 487-1000

560 Jackson St N
Suite 200 St Petersburg Endoscopy Center
St Petersburg, FL 33705-1449
Phone (727) 820-7500

6820 International Ctr Blvd
Fort Myers, FL 33912-7129
Phone (239) 210-0301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007322FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
FMFL Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 23, 2025 Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2025 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
Baycare Medical Group, Inc CurrentSince Nov 2, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2025 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Nov 2, 2023 Accepting new patients
Complete Anesthesia Care LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Peacehealth CurrentSince May 16, 2005 Accepting new patients
Anesthetic Solutions, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Oregon Anesthesiology Group PC CurrentSince Jan 2, 2024 Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Aug 15, 2025 Accepting new patients
American Anesthesiology Services of Florida, Inc. CurrentSince Jul 19, 2022 Accepting new patients
FDHS Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 10, 2025 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2025 Accepting new patients
Metropolitan Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Pinellas County Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 10, 2025 Accepting new patients
Affiliated Tampa Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 10, 2025 Accepting new patients
Columbia Anesthesia Group P S CurrentSince Jul 7, 2014 Accepting new patients
Affiliated Tampa Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered PastSince Apr 6, 2023 Accepting new patients

Locations (25 of 36)

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

616 E St
Clearwater, FL 33756
Phone (727) 443-0611

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

6820 International Center Blvd
Fort Myers, FL 33912
Phone (239) 210-0301

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

3325 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (941) 522-3480

7300 Bryan Dairy Rd
Ste 495
Seminole, FL 33777
Phone (727) 451-6780

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

14547 Bruce B Downs Blvd
Tampa, FL 33613
Phone (800) 242-5080

400 10th St E
Waconia, MN 55387

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137

9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081

1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137

Interoperability endpoints

  • Direct secure messaging: ms_lharr200@landmarkhealth-direct.org
  • Direct secure messaging: lisa.harrisoncrna@direct.mybaycare.org

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1760439079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 NE 139TH ST",
            "address_2": "ROOM 2C117",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862742",
            "telephone_number": "360-487-2500",
            "fax_number": "369-487-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NE 139TH ST",
            "address_2": "ROOM 2C117",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862742",
            "telephone_number": "360-487-2500",
            "fax_number": "369-487-2539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-414-2000",
            "fax_number": "360-414-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "C.R.N.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30006523",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11007322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SMALL",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "C.R.N.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.