Mrs Lisa Michelle Humphrey, CRNA | |
110 29th Ave N Ste 202, Nashville, TN 37203-1448 | |
(615) 327-4304 | |
Not Available |
Full Name | Mrs Lisa Michelle Humphrey |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 110 29th Ave N Ste 202, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619936309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN0000110187 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 10545 (Tennessee) | Primary |
Entity Name | Anesthesia Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
Entity Name | Northstar Anesthesia Of Tennessee, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821390451 PECOS PAC ID: 6608058086 Enrollment ID: O20110307000153 |
Entity Name | Physynergy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124455969 PECOS PAC ID: 6204081292 Enrollment ID: O20131127000891 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Michelle Humphrey, CRNA 110 29th Ave N Ste 202, Nashville, TN 37203-1448 Ph: (615) 327-4304 | Mrs Lisa Michelle Humphrey, CRNA 110 29th Ave N Ste 202, Nashville, TN 37203-1448 Ph: (615) 327-4304 |
Amanda B Dickert I, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1215 21st Ave S, Nashville, TN 37232 Phone: 615-343-6336 Fax: 615-343-1966 | |
Charles Ryan Swafford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 | |
Jana Koehn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4 Academy Pl Apt 307, Nashville, TN 37210 Phone: 316-243-7921 | |
Jon Schwindt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Mrs. Misty Coggins Handy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 29th Ave N, Ste 202, Nashville, TN 37203 Phone: 615-327-4304 | |
Joshua Lemay, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 110 29th Ave N, Suite 202, Nashville, TN 37203 Phone: 615-327-4304 Fax: 615-327-7940 | |
Jonathan Keith Allgood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4230 Harding Pike, Suite 435, Nashville, TN 37205 Phone: 615-385-3704 Fax: 615-292-1321 |