Active NPI
Lynette C Murray, CRNA
- Certified Registered Nurse Anesthetist
- Willimantic, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4121
- Practice address
- 1185 Main St Ste 2
Willimantic, CT 06226-2093 - Phone
- (860) 423-7558
- NPI assigned
- May 23, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C01339 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | R52311 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | 4121 | CT | Primary |
Addresses
Primary practice location
1185 Main St Ste 2
Willimantic, CT 06226-2093
Mailing address
173 Shore Rd
Waterford, CT 06385-3453
Phone (870) 421-5177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R52311 | Other | AR | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004121 | CT | MD | Surgical Physician Assistant |
| R52311 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Willimantic PC | Current | Accepting new patients | |
| Murfreesboro Anesthesia Group, P.a. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
52 Hazelnut Hill Rd
Groton, CT 06340
Phone (860) 446-8265
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
37 Kennedy Dr
Ste C
Putnam, CT 06260
Phone (860) 423-7558
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
1185 Main St
Willimantic, CT 06226
Phone (860) 423-7558
1185 Main St
Ste 2
Willimantic, CT 06226
Phone (860) 423-7558
Organizations & group practices 4
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
- Willimantic, CT
- NPI 1306905799
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Murfreesboro, TN
- NPI 1912959867
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1992750574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 SHORE RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063853453",
"telephone_number": "870-421-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 MAIN ST STE 2",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262093",
"telephone_number": "860-423-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "LYNETTE",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C01339",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "R52311",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "4121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "R52311",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.