Individual provider Active NPI

Beverly Louise Smith-Tillery, CRNA

  • Certified Registered Nurse Anesthetist
  • Bay Pines, FL
National Provider Identifier
1144207861
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9165370 Issued in FL
Practice address
10000 Bay Pines Blvd.
Bay Pines, FL 33744
Phone
(727) 398-6661
Fax
(727) 398-9584
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 ARNP9165370 FL Primary

Addresses

Primary practice location

10000 Bay Pines Blvd.
Bay Pines, FL 33744

Mailing address

9991 54TH Ave N
St Petersburg, FL 33708-3605
Phone (727) 319-0359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
First Priority Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Premier Anesthesia of the Sunshine State LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Coastal Anesthesia Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Advanced Anesthesia Associates LLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144207861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9991 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083605",
            "telephone_number": "727-319-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD.",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661",
            "fax_number": "727-398-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-TILLERY",
        "first_name": "BEVERLY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9165370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.