Active NPI
Renee Kathleen Rudnick, CRNA
- Certified Registered Nurse Anesthetist
- Safety Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9168482
- Practice address
- 3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607 - Phone
- (813) 870-4015
- Fax
- (813) 605-6269
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 9168482 | FL | Primary |
Addresses
Primary practice location
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Mailing address
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (813) 870-4015
Other practice location 1
1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571
Phone (813) 844-4434
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307731400 | Medicaid | FL | |
| 7468805 | Other | FL | AETNA PIN |
| U7826Z | Other | FL | MEDICARE GTBA REASSIGN |
| G4024 | Other | FL | BCBS |
| P00327774 | Other | FL | MEDICARE RAILROAD |
Other names 1
- Renee Kathleen Dobraski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526
Hospital & facility affiliations
- Mease Dunedin Hospital
- Mease Countryside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9168482 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Florida Gulf-to-Bay Anesthesiology Associates, LLC | Past | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
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
1 Tampa General Cir
Ste A327
Tampa, FL 33606
Phone (813) 635-5817
400 N Ashley Dr
Ste 1625
Tampa, FL 33602
Phone (813) 289-6597
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- rdobraski214113@orlandohealth.medalliesdirect.net
Organizations & group practices 6
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1083665426
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
-
- General Acute Care Hospital
- Dunedin, FL
- NPI 1336125640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1114970555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 MCMULLEN BOOTH RD",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346956607",
"telephone_number": "813-870-4015",
"fax_number": "813-605-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 MCMULLEN BOOTH RD",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346956607",
"telephone_number": "813-870-4015",
"fax_number": "813-605-6269"
}
],
"practiceLocations": [
{
"address_1": "1 Tampa General Cir",
"address_2": "Suite A327",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063571",
"country_code": "US",
"telephone_number": "813-844-4434",
"fax_number": "813-844-4972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDNICK",
"first_name": "RENEE",
"middle_name": "KATHLEEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9168482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307731400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "7468805",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GTBA REASSIGN",
"identifier": "U7826Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G4024",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00327774",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "DOBRASKI",
"middle_name": "KATHLEEN",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.