Individual provider Active NPI

Andria Sophia Edwards-Fagon, CRNA

  • Certified Registered Nurse Anesthetist
  • Pembroke Pines, FL
National Provider Identifier
1184963514
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9225237 Issued in FL
Practice address
920 SW 111TH Ave
Pembroke Pines, FL 33025-3514
Phone
(954) 326-1697
Fax
(954) 326-1697
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 APRN9225237 FL Primary

Addresses

Primary practice location

920 SW 111TH Ave
Pembroke Pines, FL 33025-3514

Mailing address

920 SW 111TH Ave
Pembroke Pines, FL 33025-3514
Phone (954) 326-1697

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130502000305 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820235252 Reassigns benefits to 5 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
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (954) 939-5000

21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (561) 488-8000

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (866) 507-5244

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9225237FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Apr 23, 2013 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jan 6, 2026 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients
Sheridan Healthcorp, Inc CurrentSince Jun 19, 2020 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jun 19, 2020 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Apr 1, 2023 Accepting new patients
American Anesthesiology of Florida, Inc CurrentSince Apr 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesco North Broward LLC CurrentSince Mar 17, 2014 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Apr 23, 2013 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

9970 Central Park Blvd N
Ste 404
Boca Raton, FL 33428
Phone (561) 451-0500

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

6333 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 861-0760

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

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

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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 1

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1184963514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SW 111TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253514",
            "telephone_number": "954-326-1697",
            "fax_number": "954-326-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW 111TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253514",
            "telephone_number": "954-326-1697",
            "fax_number": "954-326-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS-FAGON",
        "first_name": "ANDRIA",
        "middle_name": "SOPHIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9225237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.