Individual provider Active NPI

Lisa Michele Gulino, LISA GULINO

  • Certified Registered Nurse Anesthetist
  • Wethersfield, CT
National Provider Identifier
1821135476
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
003565 Issued in CT
Practice address
100 Great Meadow Rd
Suite 208
Wethersfield, CT 06109
Phone
(860) 563-0700
Fax
(860) 563-0741
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 003565 CT Primary

Addresses

Primary practice location

100 Great Meadow Rd
Suite 208
Wethersfield, CT 06109

Mailing address

68 South Service Road
Suite 350
Melville, NY 11747
Phone (516) 945-3000

Other names 1

  • Lisa Lauria Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070625000202 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315046885 Reassigns benefits to 4 organizations
I20240408001342 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315046885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003565CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Connecticut, LLC CurrentSince Sep 1, 2016 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Sep 1, 2016 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2024 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince Nov 1, 2006 Accepting new patients
Connecticut Gi PLLC CurrentSince Apr 1, 2016 Accepting new patients
Planned Parenthood of Southern New England, Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 13, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2024 Accepting new patients

Locations

2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

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

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

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

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

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

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

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

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

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Interoperability endpoints

  • Direct secure messaging: lisam.gulino@xdr.hhchealthdirect.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1821135476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 SOUTH SERVICE ROAD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREAT MEADOW RD",
            "address_2": "SUITE 208",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "06109",
            "telephone_number": "860-563-0700",
            "fax_number": "860-563-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULINO",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "LISA GULINO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "003565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LAURIA",
            "credential": "LISA GULINO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.