Active NPI
Cathy Sommer, CRNA
- Certified Registered Nurse Anesthetist
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9247004
- Practice address
- 1613 NW 136TH Ave
#200
Sunrise, FL 33323-2853 - Phone
- (954) 838-2502
- Fax
- (954) 851-1758
- NPI assigned
- Oct 4, 2005
- Last updated
- Jul 8, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1087166 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 101-0034357 | VT | |
| Certified Registered Nurse Anesthetist | 367500000X | 9247004 | FL | Primary |
Addresses
Primary practice location
1613 NW 136TH Ave
#200
Sunrise, FL 33323-2853
Mailing address
11909 Jennifer Way
Hollywood, FL 33026-1002
Phone (954) 450-5821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 740020056 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003967 | CT | MD | Clinical Psychologist |
| 9247004 | FL | MD | Certified Registered Nurse Anesthetist |
| 1087166 | KY | MD | Certified Registered Nurse Anesthetist |
| 101-0034357 | VT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Sheridan Anesthesia Services of New Jersey PC | Past | Accepting new patients | |
| Anesthesiology Associates PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Millennium Anesthesia PA | Past | Accepting new patients | |
| Patriot Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Rutland Hospital, Inc. | Past | Accepting new patients |
Locations
160 Allen St
Rutland, VT 05701
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Rutland, VT
- NPI 1295799047
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1285741322
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1164400701
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, MA
- NPI 1427311539
Nurse Anesthetist, Certified Registered
-
dba Rutland Regional Medical Center
- General Acute Care Hospital
- Rutland, VT
- NPI 1720042203
-
- Anesthesiology Physician
- Jersey City, NJ
- NPI 1013162163
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Rutland Regional Medical Center
- General Acute Care Hospital
- Rutland, VT
- NPI 1720042203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053308080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11909 JENNIFER WAY",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330261002",
"telephone_number": "954-450-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 NW 136TH AVE",
"address_2": "#200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232853",
"telephone_number": "954-838-2502",
"fax_number": "954-851-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMMER",
"first_name": "CATHY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1087166",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VT",
"license": "101-0034357",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9247004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "740020056",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, 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.