Organization Active NPI

Nimble Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Tallahassee, FL
National Provider Identifier
1043579949
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9241655 Issued in FL
Legal business name
NIMBLE ANESTHESIA, LLC
Practice address
2030 Fleischmann Rd
Tallahassee, FL 32308-4599
Phone
(850) 544-9700
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Mrs. Lisa Lincoln Umana, CRNANPI 1184650483
Title
Sole Member
Phone
(850) 544-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 9241655 FL Primary

Addresses

Primary practice location

2030 Fleischmann Rd
Tallahassee, FL 32308-4599

Mailing address

1238 Skip Wells CT
Tallahassee, FL 32312-1064
Phone (850) 544-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120625000101 FL Part B Supplier - Clinic/Group Practice 6103081278 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1043579949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 SKIP WELLS CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121064",
            "telephone_number": "850-544-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 FLEISCHMANN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084599",
            "telephone_number": "850-544-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMBLE ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "UMANA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LINCOLN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "850-544-9700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9241655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.