Active NPI
Kisha N Thompson, CRNA
- Certified Registered Nurse Anesthetist
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 505994 1
- Practice address
- 45 Reade PL
Poughkeepsie, NY 12601-3947 - Phone
- (845) 431-5629
- NPI assigned
- Aug 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 505994 1 | NY | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 074874-23 | NH |
Addresses
Primary practice location
45 Reade PL
Poughkeepsie, NY 12601-3947
Mailing address
3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2907
Phone (703) 295-9360
Other practice location 1
590 Court Street
Keene, NH 03431
Phone (603) 354-5400
Other names 1
- Kisha N Lifgren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, VT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17 Belmont Ave
Brattleboro, VT 05301-3498
Phone (802) 257-8834
580 Court St
Keene, NH 03431-1718
Phone (603) 354-5400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074874-23 | NH | MD | Certified Registered Nurse Anesthetist |
| 505994 1 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Collaborative Anesthesia Partners | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amoskeag Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ias Illinois PC | Current | Accepting new patients | |
| Washington Hospital Center Corp | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
580 Court St
Keene, NH 03431
Phone (603) 354-5454
590 Court St
Keene, NH 03431
Phone (603) 354-5454
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
Organizations & group practices 6
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
- Manchester, NH
- NPI 1104883511
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Farmington, NH
- NPI 1023522455
Nurse Anesthetist, Certified Registered, VT
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
NH, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Washington, DC
- NPI 1265452635
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
- General Acute Care Hospital
- Keene, NH
- NPI 1629181516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1972618098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332907",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 READE PL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "845-431-5629"
}
],
"practiceLocations": [
{
"address_1": "590 Court Street",
"address_purpose": "LOCATION",
"city": "Keene",
"state": "NH",
"postal_code": "03431",
"country_code": "US",
"telephone_number": "603-354-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "KISHA",
"middle_name": "N",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "505994 1",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "074874-23",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KISHA",
"last_name": "LIFGREN",
"middle_name": "N",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.