NPIMap

Individual provider Active NPI

Terry D Roy, CRNA

  • Certified Registered Nurse Anesthetist
  • Clearwater, FL
National Provider Identifier
1063450864
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP816782 Issued in FL
Practice address
1340 Gulf Blvd
Apt 15G
Clearwater, FL 33767-2879
Phone
(727) 434-0891
Fax
(727) 823-9502
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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 ARNP816782 FL Primary

Addresses

Primary practice location

1340 Gulf Blvd
Apt 15G
Clearwater, FL 33767-2879

Mailing address

1340 Gulf Blvd
Apt 15G
Clearwater, FL 33767-2879
Phone (727) 434-0891

Other identifiers 1

IdentifierTypeStateIssuer
P00467515OtherFLRAILROAD MEDICARE IDENTIFIER

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
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Consultant Anesthetic Services PA Past Accepting new patients
Bayfront Anesthestia Services PA Past Accepting new patients
Osceola Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Consultants of St Petersburg PA Past Accepting new patients
Anesthesia Partners of Manatee LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
C R Anesthesia PA Past Accepting new patients
Gulfcoast Anesthesia Partners LLP Past Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. Past Accepting new patients

Organizations & group practices 8

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1063450864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 GULF BLVD",
            "address_2": "APT 15G",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337672879",
            "telephone_number": "727-434-0891",
            "fax_number": "727-581-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 GULF BLVD",
            "address_2": "APT 15G",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337672879",
            "telephone_number": "727-434-0891",
            "fax_number": "727-823-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "TERRY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP816782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE IDENTIFIER",
            "identifier": "P00467515",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.