Lisa Diane Blacketter is a Victoria, Texas based nurse anesthetist with 13 years of experience as Anesthesia Administration. She completed she graduation in 2012. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa Diane Blacketter is 209010216 for Anesthesia Administration in Illinois. Her current practice location is 2701 Hospital Dr, Victoria. Patients can reach her at 361-573-9181 or can fax her at 361-582-5743. Lisa Diane Blacketter is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1851630040. Lisa Diane Blacketter is a certified 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.
Complete Profile:
Lisa Diane Blacketter speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
13+ years
Medical School Attended:
Other
Graduation Year:
2012
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
2701 Hospital Dr, Victoria, Texas, 77901-5749
Phone:
361-573-9181
Fax:
361-582-5743
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9234375452
Enrollment ID:
I20130413000049
NPI Number:
1851630040
NPI Enumeration Date:
07 Feb, 2013
NPI Last Update On:
10 Oct, 2024
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Diane Blacketter are as mentioned below.
License Number
Specialization
State
Status
209010216
Anesthesia Administration
Illinois
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Heartland Regional Medical Center (140184)
Marion, IL
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Lisa Diane Blacketter has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
G And G Anesthesia Llc (4981912607)
86
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2701 Hospital Dr, Victoria, Texas
Zip:
77901-5749
Phone Number:
361-573-9181
Fax Number:
361-582-5743
Patients can reach Lisa Diane Blacketter at 2701 Hospital Dr, Victoria, Texas or can call to book an appointment on 361-573-9181.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.