Individual provider Active NPI

Angela Patricia Atkinson, CRNA

  • Certified Registered Nurse Anesthetist
  • Lake Worth, FL
National Provider Identifier
1104914704
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9266295 Issued in FL
Practice address
5301 S Congress Ave
Lake Worth, FL 33462-1149
Phone
(561) 965-7300
Fax
(856) 968-8239
NPI assigned
Oct 10, 2006
Last updated
Sep 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NR05598400 NJ
Certified Registered Nurse Anesthetist 367500000X RN262742L PA
Certified Registered Nurse Anesthetist 367500000X ARNP9266295 FL Primary

Addresses

Primary practice location

5301 S Congress Ave
Lake Worth, FL 33462-1149

Mailing address

5301 S Congress Ave
Lake Worth, FL 33462-1149
Phone (561) 965-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080313000176 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981606746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8505

401 NW 42ND Ave
Plantation, FL 33317-2835
Phone (954) 587-5010

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (954) 939-5000

7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NR05598400NJMDCertified Registered Nurse Anesthetist
RN262742LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2014 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2014 Accepting new patients
Sheridan Healthcorp, Inc CurrentSince Jan 2, 2008 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jan 2, 2008 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

1395 S State Road 7
Ste 100
West Palm Beach, FL 33414
Phone (561) 422-0994

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1104914704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334621149",
            "telephone_number": "561-965-7300",
            "fax_number": "856-968-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334621149",
            "telephone_number": "561-965-7300",
            "fax_number": "856-968-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "ANGELA",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "NR05598400",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN262742L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9266295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.

Verify at the official NPI Registry.