Active NPI
Paul Andres Echeverri, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 125388
- Practice address
- 1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510 - Phone
- (954) 355-4400
- NPI assigned
- Jan 8, 2019
- Sex
- Male
- 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 | 125388 | FL | Primary |
Addresses
Primary practice location
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Mailing address
6741 NW 199TH Ter
Hialeah, FL 33015-2486
Phone (305) 815-3641
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN11000848 | Other | FL | FLORIDA BOARD OF NURSING |
| 125388 | Other | NBCRNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24440 Stone Springs Blvd
Dulles, VA 20166-2247
Phone (703) 471-0919
Hospital & facility affiliations
- Stonesprings Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125388 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reston Anesthesia Associates, PC | Current | Accepting new patients | |
| Stonesprings Anesthesia Associates, LTD | Current | Accepting new patients | |
| Old Dominion Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393
1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484
3028 Javier Rd
Ste 400
Fairfax, VA 22031
Phone (703) 716-1097
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400
Organizations & group practices 3
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
- Dulles, VA
- NPI 1255718235
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
DC, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dulles, VA
- NPI 1972904738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1114490653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6741 NW 199TH TER",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152486",
"telephone_number": "305-815-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S ANDREWS AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162510",
"telephone_number": "954-355-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHEVERRI",
"first_name": "PAUL",
"middle_name": "ANDRES",
"credential": "DNP, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "125388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF NURSING",
"identifier": "APRN11000848",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCRNA",
"identifier": "125388",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.