Individual provider Active NPI

Karen Sekoski, CRNA

  • Certified Registered Nurse Anesthetist
  • Santa Rosa Beach, FL
National Provider Identifier
1164414967
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN311077L Issued in PA
Practice address
174 Watercolor Way
Suite 355
Santa Rosa Beach, FL 32459-7350
Phone
(904) 469-0131
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN311077L PA Primary
Certified Registered Nurse Anesthetist 367500000X 82711 NC
Certified Registered Nurse Anesthetist 367500000X APRN223 SC
Certified Registered Nurse Anesthetist 367500000X ARNP9164074 FL

Addresses

Primary practice location

174 Watercolor Way
Suite 355
Santa Rosa Beach, FL 32459-7350

Mailing address

174 Watercolor Way
Suite 355
Santa Rosa Beach, FL 32459

Other identifiers 2

IdentifierTypeStateIssuer
G3872OtherFLBCBS
305343100MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
82711NCMDCertified Registered Nurse Anesthetist
RN311077LPAMDCertified Registered Nurse Anesthetist
APRN223SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients
Ahp of Altamonte Springs LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Pinellas County Past Accepting new patients
Clearwater Pain Management Associates Past Accepting new patients
Anesthesiology Associates of Tallahassee Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Ft. Walton Beach Anesthesia Services LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1164414967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 WATERCOLOR WAY",
            "address_2": "SUITE 355",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 WATERCOLOR WAY",
            "address_2": "SUITE 355",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597350",
            "telephone_number": "904-469-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKOSKI",
        "first_name": "KAREN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN311077L",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "82711",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APRN223",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9164074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3872",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305343100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.