Active NPI
Amy B Lannoye, CRNA
- Certified Registered Nurse Anesthetist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 125895
- Practice address
- 744 S Webster Ave
Green Bay, WI 54301-3505 - Phone
- (920) 445-7226
- NPI assigned
- Nov 15, 2007
- 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 | 125895 | WI | Primary |
Addresses
Primary practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Mailing address
PO Box 23400
Green Bay, WI 54305-3400
Phone (920) 445-7226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44329200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4648 W Spencer St
Appleton, WI 54914-9106
Phone (920) 731-7557
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3672 | WI | MD | Physical Therapist |
| 125895 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osms Anesthesia LLC | Current | Accepting new patients | |
| Green Bay Anesthesia Assoc. SC | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Bellin Anesthesia Associates, S.C. | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients |
Locations
225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026
2223 Lime Kiln Rd
Ste 1
Green Bay, WI 54311
Phone (920) 468-0246
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
Bin 88848
Milwaukee, WI 53288
Bin 88263
Milwaukee, WI 53288
1205 West American Dr
Neenah, WI 54956
Phone (920) 727-8144
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Organizations & group practices 8
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
- Oshkosh, WI
- NPI 1750385597
-
- Pain Medicine (Anesthesiology) Physician
- Green Bay, WI
- NPI 1558318410
-
- Anesthesiology Physician
- Green Bay, WI
- NPI 1023065836
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Ambulatory Surgical Clinic/Center
- Marinette, WI
- NPI 1881129351
-
- Anesthesiology Physician
- Green Bay, WI
- NPI 1447017983
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Rural Health Clinic/Center
- Peshtigo, WI
- NPI 1649628249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1952582264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23400",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543053400",
"telephone_number": "920-445-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-445-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANNOYE",
"first_name": "AMY",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "125895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44329200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.