Active NPI
Hailey Faith Bourdon
- Certified Registered Nurse Anesthetist
- Titusville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11019725
- Practice address
- 2965 Knox McRae Dr
Titusville, FL 32780-5179 - Phone
- (814) 282-3439
- NPI assigned
- Oct 10, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11019725 | FL | Primary |
| Registered Nurse | 163W00000X | 9465714 | FL |
Addresses
Primary practice location
2965 Knox McRae Dr
Titusville, FL 32780-5179
Mailing address
2965 Knox McRae Dr
Titusville, FL 32780-5179
Phone (814) 282-3439
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5191 1St Coast Tech Pkwy
FL 1
Jacksonville, FL 32224-0609
Phone (904) 593-5146
951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9465714 | FL | MD | Registered Nurse |
| APRN11019725 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Overwatch Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Space Coast Anesthesia Services LLC | Current | Accepting new patients | |
| Parrish Anesthesia Specialist, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
6705 NW 10th Pl
Gainesville, FL 32605
Phone (352) 333-4555
5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146
595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600
814 S Washington Ave
Titusville, FL 32780
Phone (321) 567-6300
951 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 268-6836
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
Organizations & group practices 6
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
- Titusville, FL
- NPI 1780997023
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1528616810
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Merritt Island, FL
- NPI 1942441753
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1053073767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 KNOX MCRAE DR",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327805179",
"telephone_number": "814-282-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2965 KNOX MCRAE DR",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327805179",
"telephone_number": "814-282-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURDON",
"first_name": "HAILEY",
"middle_name": "FAITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-10",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11019725",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9465714",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.