Active NPI
Lisa M Duchini, CRNA
- Certified Registered Nurse Anesthetist
- Hyannis, MA
National Provider Identifier
1912977208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 192052
- Practice address
- 700 Attucks Lane
Ste 1B
Hyannis, MA 02601-0181 - Phone
- (413) 329-4658
- Fax
- (952) 442-3620
- NPI assigned
- Jan 26, 2006
- 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 | 192052 | MA | Primary |
Addresses
Primary practice location
700 Attucks Lane
Ste 1B
Hyannis, MA 02601-0181
Mailing address
400 East 10TH Street
Waconia, MN 55387-4552
Phone (952) 442-9770
Other names 1
- Lisa M Booth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Attucks LN
Unit 1B
Hyannis, MA 02601-1813
Phone (781) 585-9522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192052 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Demand Anesthesia LLC | Current | Accepting new patients |
Locations
700 Attucks Ln
Unit 1B
Hyannis, MA 02601
Phone (508) 367-3557
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.
-
- Anesthesiology Physician
- Hyannis, MA
- NPI 1639865728
-
- Anesthesiology Physician
- Middleton, MA
- NPI 1629583323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1912977208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EAST 10TH STREET",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ATTUCKS LANE",
"address_2": "STE 1B",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026010181",
"telephone_number": "413-329-4658",
"fax_number": "952-442-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCHINI",
"first_name": "LISA",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "192052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "BOOTH",
"middle_name": "M",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.