MS. LISA ANN PETTY CRNA
NPI 1033199559
Nurse Anesthetist, Certified Registered in Tacoma, WA

Q: What is Lisa Petty's NPI number?

The NPI number for Lisa Petty is 1033199559. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Lisa Petty's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Petty was last updated on July 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2006

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2252(253) 968-3278 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Ms. Lisa Ann Petty Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA ANN PETTY CRNA (NPI 1033199559) is an individual nurse anesthetist, certified registered in Tacoma, Washington, licensed in Missouri (107635) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1033199559

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMS. LISA ANN PETTYCredential: CRNA

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing AddressMadigan Army Medical Center, 9040 Reid St., Attn: Mchj-qcrTacoma, WA 98431-0001 · (253) 968-2252 · Fax (253) 968-3278

Phone(253) 968-2252

Fax(253) 968-3278

Sole ProprietorYes

Enumeration DateJanuary 19, 2006

Last NPPES UpdateJuly 10, 2019

✔ NPI 1033199559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MO · 107635

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

9040 JACKSON AVE, Tacoma, WA 98431

Open in Google Maps ↗