Individual provider Active NPI

Lori Rivard, CRNA

  • Certified Registered Nurse Anesthetist
  • Madison, TN
National Provider Identifier
1851470348
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
44136 Issued in TN
Practice address
154 Cude LN
Madison, TN 37115-2202
Phone
(615) 865-6268
Fax
(615) 868-7378
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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 44136 TN Primary

Addresses

Primary practice location

154 Cude LN
Madison, TN 37115-2202

Mailing address

PO Box 488
Madison, TN 37116-0488
Phone (615) 865-6268

Other identifiers 1

IdentifierTypeStateIssuer
3622064MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000916 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183882228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Anesthesia of TennesseeGroup PAC ID 4688902067, 37 clinicians

Practice addresses (Care Compare)

3000 Edward Curd Lane
Franklin, TN 37067
Phone (615) 791-2630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44136TNMDPharmacist
9498TNMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Anesthesia of Tennessee CurrentSince Jun 30, 2022 Accepting new patients

Locations

3000 Edward Curd Ln
Franklin, TN 37067
Phone (615) 791-2630

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

Organizations & group practices 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1851470348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371160488",
            "telephone_number": "615-865-6268",
            "fax_number": "615-868-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CUDE LN",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152202",
            "telephone_number": "615-865-6268",
            "fax_number": "615-868-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVARD",
        "first_name": "LORI",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "44136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3622064",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.