Individual provider Active NPI

Darryl Neely

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1073910378
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3009244 Issued in KY
Practice address
4001 Dutchmans LN
Louisville, KY 40207-4714
Phone
(502) 629-2880
NPI assigned
Dec 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1116491 KY
Registered Nurse 163W00000X 28214626 IN
Certified Registered Nurse Anesthetist 367500000X 3009244 KY Primary

Addresses

Primary practice location

4001 Dutchmans LN
Louisville, KY 40207-4714

Mailing address

601 S Floyd St Ste 407
Louisville, KY 40202-1837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616002580 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587982459 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
28214626INMDRegistered Nurse
1116491KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2022 Accepting new patients
Care Anesthesia Specialists Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 18, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 21, 2022 Accepting new patients
Cape Coral Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince May 11, 2020 Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Jul 1, 2025 Accepting new patients
FMFL Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2020 Accepting new patients
Anesthesia Associates of Southwest Florida LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2020 Accepting new patients
SWF Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 7, 2022 Accepting new patients

Locations

625 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 574-3323

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

2721 Del Prado Blvd S
Ste 100
Cape Coral, FL 33904
Phone (239) 242-8010

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

13195 Metro Pkwy
Unit 1216
Fort Myers, FL 33966
Phone (239) 236-2215

6820 International Center Blvd
Fort Myers, FL 33912
Phone (239) 210-0301

63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452

8380 Riverwalk Park Blvd
Fort Myers, FL 33919
Phone (239) 343-9960

8380 Riverwalk Park Blvd
Ste 220
Fort Myers, FL 33919
Phone (239) 215-4104

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

18350 Murdock Cir
Unit 102
Pt Charlotte, FL 33948
Phone (941) 206-7251

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

1220 E Venice Ave
Venice, FL 34285
Phone (941) 441-1018

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": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1073910378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST STE 407",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074714",
            "telephone_number": "502-629-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "DARRYL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1116491",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28214626",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3009244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.