Active NPI
Lillian J Chambless, CRNA
- Certified Registered Nurse Anesthetist
- Conway, SC
National Provider Identifier
1811917263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 14327
- Practice address
- 300 Singleton Ridge Rd
Conway, SC 29526-9142 - Phone
- (843) 347-8037
- Fax
- (843) 347-8056
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 14327 | SC | Primary |
Addresses
Primary practice location
300 Singleton Ridge Rd
Conway, SC 29526-9142
Mailing address
PO Box 829
Conway, SC 29528-0829
Phone (843) 347-8037
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20002419 | Other | FIRST CHOICE | |
| AN0441 | Medicaid | SC |
Other names 1
- Judith Lillian James
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20627 | SC | MD | Sleep Medicine (Internal Medicine) Physician |
| 14327 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Hospital, Inc. | Past | Accepting new patients | |
| Conway Hospital Long Term Care Services, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nursing Facility/Intermediate Care Facility
- Conway, SC
- NPI 1750466223
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811917263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 829",
"city": "CONWAY",
"state": "SC",
"postal_code": "295280829",
"telephone_number": "843-347-8037",
"fax_number": "843-347-8056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-347-8037",
"fax_number": "843-347-8056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBLESS",
"first_name": "LILLIAN",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "14327",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CHOICE",
"identifier": "20002419",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0441",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "JAMES",
"middle_name": "LILLIAN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.