LANCE A GRIZZARD CRNA
NPI 1104814516
Nurse Anesthetist, Certified Registered in Mechanicsville, VA

Q: What is Lance Grizzard's NPI number?

The NPI number for Lance Grizzard is 1104814516. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Lance Grizzard'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 Lance Grizzard was last updated on January 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2005

8260 ATLEE RD, MECHANICSVILLE, VA 23116(804) 288-6258(804) 282-9921 Get Directions Write a Review

NPPES record last updated: January 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2018, Dec 5, 2017 (2 updates tracked since 2017).

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About Lance A Grizzard Crna NPPES

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

LANCE A GRIZZARD CRNA (NPI 1104814516) is an individual nurse anesthetist, certified registered in Mechanicsville, Virginia, licensed in Virginia (0024166429) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1104814516

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameLANCE A GRIZZARDCredential: CRNA

Location Address8260 ATLEE RDMechanicsville, VA 23116-1844

Mailing Address3100 Spring Forest Rd Ste 130Raleigh, NC 27616-2880 · (888) 280-9533 · Fax (919) 873-9821

Phone(804) 288-6258

Fax(804) 282-9921

Sole ProprietorNo

Enumeration DateOctober 10, 2005

Last NPPES UpdateJanuary 12, 20182 updates tracked since enumeration

✔ NPI 1104814516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code367500000X

License✔ Licensed in VA · 0024166429

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001154508 (VA)

8260 ATLEE RD, Mechanicsville, VA 23116

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Other Identifiers 1

Medicaid010163188VA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID IKEDA M.D.

Anesthesiology