Active NPI
Kevin Pittman, CRNA
- Certified Registered Nurse Anesthetist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9210293
- Practice address
- 1600 South Andrews Ave
Broawrd General Medical Center
Fort Lauderdale, FL 33316 - Phone
- (954) 355-4400
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- 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 | ARNP9210293 | FL | Primary |
Addresses
Primary practice location
1600 South Andrews Ave
Broawrd General Medical Center
Fort Lauderdale, FL 33316
Mailing address
3601 W Commercial Blvd Suite 4
Anesco North Broward LLC
Fort Lauderdale, FL 33309
Phone (954) 485-5666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5301 N Dixie Hwy
Suite 100
Oakland Park, FL 33334-3447
Phone (954) 939-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Lucie Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Lucie Anesthesia Associates, LLC | Current | Accepting new patients | |
| St Lucie Anesthesia Associates LLC | Current | Accepting new patients | |
| Anesco Central LLC | Past | Accepting new patients |
Locations
501 Glades Rd
Boca Raton, FL 33432
Phone (561) 362-4400
1801 W Sample Rd
Ste 200
Deerfield Beach, FL 33064
Phone (954) 904-0723
4675 Linton Blvd
Delray Beach, FL 33445
Phone (561) 381-4305
3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020
16853 NE 2nd Ave
Ste 400
North Miami Beach, FL 33162
Phone (305) 652-2999
5301 N Dixie Hwy
Ste 100
Oakland Park, FL 33334
Phone (954) 771-3334
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
Organizations & group practices 5
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
- Boca Raton, FL
- NPI 1700044252
-
- Anesthesiology Physician
- Ft Lauderdale, FL
- NPI 1699763862
-
- Anesthesiology Physician
- Deerfield Beach, FL
- NPI 1376115071
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1851252902
-
- Anesthesiology Physician
- Ft Lauderdale, FL
- NPI 1710975925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023143500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W COMMERCIAL BLVD SUITE 4",
"address_2": "ANESCO NORTH BROWARD LLC",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-485-5666",
"fax_number": "954-484-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SOUTH ANDREWS AVE",
"address_2": "BROAWRD GENERAL MEDICAL CENTER",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33316",
"telephone_number": "954-355-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "KEVIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9210293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.