Lisa Diane Blacketter, CRNA
Lisa Diane Blacketter, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Port Lavaca, Texas. Qualified in 2012, 14 years ago. Practices with Citizens Medical Center County of Victoria, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 14
- Licensed in
- IL
- In the registry since
- 2013
What do these letters mean?
- CRNA — Certified Registered Nurse Anesthetist
- An advanced practice nurse who administers anaesthesia.
Practice location Address checks out
815 N Virginia StPort Lavaca, TX 77979-3025
Phone: (361) 552-6713
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2701 Hospital Dr, Victoria, TX 77901-5749 — (361) 573-9181
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 209010216 (IL) |
|---|
Record details
| NPI number | 1851630040 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRNA |
| Sole proprietor | No |
| NPI enumerated | February 7, 2013 |
| Last updated in NPPES | July 6, 2026 |
| Certification date | July 6, 2026 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Citizens Medical Center County Of Victoria — 107 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Port Lavaca
-
Robert D Coleman, CRNA
815 N Virginia St, Port Lavaca, TX 77979 · (361) 573-6291
-
Mr. Gregory Wade Cowart, CRNA
815 N Virginia St, Port Lavaca, TX 77979-3025 · (361) 552-6713
-
Mr. Mark Neal Gorman, CRNA
1818 Broadway St, Port Lavaca, TX 77979-5301 · (361) 552-3505
-
Adam Nicholas Myers, CRNA
815 N Virginia St, Port Lavaca, TX 77979-3025 · (361) 552-0222