Jacklyn Gramer, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP2570402 Issued in FL

Practice address

3601 W Commercial Blvd
Suite 5
Ft Lauderdale, FL 33309-3300

Phone

(954) 485-5666

Fax

(954) 484-1651

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Anesco Anesthesia Associates Inc

  • Anesthesiology Physician
  • Hollywood, FL
  • NPI 1629066832
  NPD (past)
• Anesco Central LLC

  • Anesthesiology Physician
  • Ft Lauderdale, FL
  • NPI 1710975925
  NPD (past)
• Millennium Anesthesia PA

  • Anesthesiology Physician
  • Sunrise, FL
  • NPI 1285741322
  NPD (past)
• Northwest Anesthesiologist Group PA

  • Pain Medicine (Anesthesiology) Physician
  • Miami, FL
  • NPI 1194925016

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1124095104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "SUITE 5",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "SUITE 5",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMER",
        "first_name": "JACKLYN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2570402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034952600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LIC",
            "identifier": "ARNP2570402",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G1724",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kanani Graham, PHARM. D.
• Nicole Graham, PH.D.
• Patrick Graham
• Zoemi Grajales Medina
• Jacob Hunter Gramacy, DO
• Carmen Granado Astudillo
• Dawn M Grandinetti, PSY.D.
• Thomas D Grandstaff
• Robert Anthony Granger III, MPH, CHES
• Andrea Marie Granston-Leslie, LMHC

• Certified Registered Nurse Anesthetist in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.