Active NPI
Lindsay M. Banta, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2014012653
- Practice address
- 1235 E Cherokee St
Springfield, MO 65804-2203 - Phone
- (417) 820-2829
- Fax
- (417) 820-8852
- NPI assigned
- Feb 5, 2014
- Last updated
- Jun 22, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2014012653 | MO | Primary |
Addresses
Primary practice location
1235 E Cherokee St
Springfield, MO 65804-2203
Mailing address
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-6863
Other practice location 1
1605 Martin Springs Dr
Rolla, MO 65401-2982
Phone (573) 458-6637
Other practice location 2
100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 533-6026
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211239001 | Medicaid | AR | |
| 1891119251 | Medicaid | MO |
Other names 1
- Lindsay M. Campbell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Metro-West Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ozark Anesthesia Associates, Inc. | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients |
Locations
100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
1000 E Primrose St
Ste 520
Springfield, MO 65807
Phone (417) 269-4557
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
3535 S National Ave
Springfield, MO 65807
Phone (417) 269-9800
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Springfield, MO
- NPI 1831109586
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1245427335
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cox Medical Centers
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
dba Cox Air Care
- Air Ambulance
- Springfield, MO
- NPI 1578680286
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1891119251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 E CHEROKEE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042203",
"telephone_number": "417-820-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 E CHEROKEE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042203",
"telephone_number": "417-820-2829",
"fax_number": "417-820-8852"
}
],
"practiceLocations": [
{
"address_1": "1605 Martin Springs Dr",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012982",
"country_code": "US",
"telephone_number": "573-458-6637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "MO",
"postal_code": "655369210",
"country_code": "US",
"telephone_number": "417-533-6026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANTA",
"first_name": "LINDSAY",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2014012653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211239001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891119251",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "CAMPBELL",
"middle_name": "M.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.