Active NPI
Tabitha Jay Barrett, CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11017665
- Practice address
- 1 Shircliff Way
Jacksonville, FL 32204-4748 - Phone
- (954) 939-5216
- NPI assigned
- Feb 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 11017665 | FL | Primary |
Addresses
Primary practice location
1 Shircliff Way
Jacksonville, FL 32204-4748
Mailing address
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (954) 939-5216
Other practice location 1
92 W Miller St
Orlando, FL 32806-2032
Phone (321) 841-4607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220407001090 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9133515711 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Dynamics LLCAmerican Anesthesiology Services of Florida Inc
Practice addresses (Care Compare)
110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825
400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 493-5005
6901 Simmons Loop
Riverview, FL 33578-9498
Phone (813) 302-8000
Hospital & facility affiliations
- Flagler Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11017665 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Anesthesia Consultants Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jax Anesthesia Providers LLC | Current | Accepting new patients | |
| North Florida Anesthesia Consultants Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| North Florida Anesthesia Consultants, Inc. | Current | Accepting new patients |
Locations
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1194397489
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1346236866
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- St Augustine, FL
- NPI 1114892361
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1013662915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748",
"telephone_number": "954-939-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748",
"telephone_number": "954-939-5216"
}
],
"practiceLocations": [
{
"address_1": "92 W Miller St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062032",
"country_code": "US",
"telephone_number": "321-841-4607",
"fax_number": "321-843-2152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRETT",
"first_name": "TABITHA",
"middle_name": "JAY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11017665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.