Individual provider Active NPI

Derek L White, CRNA

  • Certified Registered Nurse Anesthetist
  • Sarasota, FL
National Provider Identifier
1134494404
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 9267850 Issued in FL
Practice address
5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone
(954) 838-2588
Fax
(954) 514-3979
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN 9267850 FL Primary

Addresses

Primary practice location

5731 Bee Ridge Rd
Sarasota, FL 34233-5056

Mailing address

1613 Harrison Pkwy
Suite 200
Sunrise, FL 33323-2896
Phone (954) 838-2588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000414 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527214212 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Pain Physicians of Florida, PAGroup PAC ID 7911804687, 25 clinicians
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians
Coral Anesthesia Associates, IncGroup PAC ID 5193986131, 47 clinicians

Practice addresses (Care Compare)

100 3Rd Ave W
Suite 110
Bradenton, FL 34205-8641
Phone 9417059555110

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (954) 939-5000

Hospital & facility affiliations

  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 9267850FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Sheridan Healthcorp, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2014 Accepting new patients
Anesthesia and Pain Physicians of Florida, PA CurrentSince Dec 29, 2015 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jul 10, 2014 Accepting new patients
Coral Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2012 Accepting new patients
SMH Physician Services Inc CurrentSince May 22, 2023 Accepting new patients
Coral Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2012 Accepting new patients
Serenity Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2018 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Simpson Anesthesia Partners Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

6015 Pointe West Blvd
Ste 101
Bradenton, FL 34209
Phone (941) 782-0101

100 3rd Ave W
Ste 110
Bradenton, FL 34205
Phone (941) 705-9555

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

2800 Bahia Vista St
Ste 300
Sarasota, FL 34239
Phone (941) 306-3166

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

2621 Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 444-5510

2540 Tamiami Trl
Sarasota, FL 34239
Phone (941) 365-1211

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

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.

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1134494404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "954-838-2588",
            "fax_number": "954-514-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335056",
            "telephone_number": "954-838-2588",
            "fax_number": "954-514-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DEREK",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN 9267850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.