Active NPI
Victoria Flores-Carlson, CRNA
- Certified Registered Nurse Anesthetist
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2844722
- Practice address
- 1706 Orange Hill Way
Brandon, FL 33510-2637 - Phone
- (813) 390-4628
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2844722 | FL | Primary |
Addresses
Primary practice location
1706 Orange Hill Way
Brandon, FL 33510-2637
Mailing address
1706 Orange Hill Way
Brandon, FL 33510-2637
Phone (813) 390-4628
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G3342 | Other | FL | BCBS |
| G3342X | Other | FL | MEDICARE UPIN W/ FGTBA |
| G3342W | Other | FL | MEDICARE UPIN W/ GTBA |
| 305723200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2844722 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Florida Gulf-to-Bay Anesthesiology Associates, LLC | Past | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
Interoperability endpoints
- vflorescarlson154373@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 5
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
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Anesthesiology Physician
- Temple Terrace, FL
- NPI 1780942706
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1083665426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1104878263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 ORANGE HILL WAY",
"city": "BRANDON",
"state": "FL",
"postal_code": "335102637",
"telephone_number": "813-390-4628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 ORANGE HILL WAY",
"city": "BRANDON",
"state": "FL",
"postal_code": "335102637",
"telephone_number": "813-390-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES-CARLSON",
"first_name": "VICTORIA",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "2844722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G3342",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN W/ FGTBA",
"identifier": "G3342X",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN W/ GTBA",
"identifier": "G3342W",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305723200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.