Beach Life Anesthesia, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

BEACH LIFE ANESTHESIA, LLC

Doing business as

Redemption Wellness Clinic

Practice address

6449 38TH Ave N Ste H4
St Petersburg, FL 33710-1643

Phone

(727) 317-2911

Fax

(727) 256-0417

NPI assigned

May 2, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christie Elsea, APRN, CRNANPI 1255812814

Title

Owner/Ceo

Phone

(423) 368-9518

Specialties & licenses 1

Addresses

Other names 1

• Redemption Wellness Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christie Elsea

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1255812814

  Nurse Anesthetist, Certified Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1003505470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N STE H4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101643",
            "telephone_number": "727-317-2911",
            "fax_number": "727-256-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N STE H4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101643",
            "telephone_number": "727-317-2911",
            "fax_number": "727-256-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH LIFE ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "ELSEA",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "423-368-9518",
        "authorized_official_credential": "APRN, CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redemption Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beach Baby Pediatric Therapy, LLC
• Beach Baby Pediatric Therapy, LLC
• Beach Baby Pediatric Therapy, LLC
• Beach Blossom Speech Therapy LLC
• Beach Drive Optical
• Beacon Psychology Solutions
• Beacon Respiratory Services Inc. (Alliance Oxygen & Medical Equipment)
• Donald Allan Beals, ARNP
• Jennifer E Beamguard, MSPAS, PA-C
• Allison Bean

• Certified Registered Nurse Anesthetist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.