Individual provider Active NPI

Ashley N Bunnell, CRNA

  • Certified Registered Nurse Anesthetist
  • Coral Springs, FL
National Provider Identifier
1043871023
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9349506 Issued in FL
Practice address
3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone
(954) 344-3000
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9349506 FL Primary

Addresses

Primary practice location

3000 Coral Hills Dr
Coral Springs, FL 33065-4108

Mailing address

3601 W Commercial Blvd Ste 5
Fort Lauderdale, FL 33309-3392
Phone (954) 485-5666

Other identifiers 1

IdentifierTypeStateIssuer
RN9349506OtherFLREGISTERED NURSE

Other names 1

  • Ms. Ashley Bosanac Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9349506FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesco North Broward LLC CurrentSince Jul 30, 2019 Accepting new patients
Blue Cloud Anesthesia, LLC Past Accepting new patients

Locations

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1043871023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 5",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093392",
            "telephone_number": "954-485-5666",
            "fax_number": "954-585-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORAL HILLS DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654108",
            "telephone_number": "954-344-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNELL",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9349506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "RN9349506",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BOSANAC",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.