Pauleen Reyes Consebido, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

002653 Issued in CT

Practice address

65 Humiston Dr
Bethany, CT 06524-3175

Phone

(203) 891-5440

NPI assigned

Dec 20, 2005

Last updated

Sep 23, 2011By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridgeport Anesthesia Associates, P.C.Group PAC ID 7113824616, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridgeport Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Bridgeport, CT
  • NPI 1174549257

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Integrated Anesthesia Associates LLC

  • Anesthesiology Physician
  • Shelton, CT
  • NPI 1881636397

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Griffin Anesthesia Associates PC

  • Anesthesiology Physician
  • Derby, CT
  • NPI 1124079421
  NPD (past)
• Hartford Anesthesiology Associates, Inc.

  • Anesthesiology Physician
  • Hartford, CT
  • NPI 1336195015

  Nurse Anesthetist, Certified Registered

  NPD (past)
• NM Anesthesia Associates, PC

  • Specialist
  • New Milford, CT
  • NPI 1184773350
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1205812401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HUMISTON DR",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243175",
            "telephone_number": "203-891-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HUMISTON DR",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243175",
            "telephone_number": "203-891-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSEBIDO",
        "first_name": "PAULEEN",
        "middle_name": "REYES",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "002653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004081725",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Bogart
• Calm As You Are, LLC
• Rachel Marie Chace, MSW, LMSW
• Ckrcounseling, LLC
• Autumn Cloud-Ingram
• Anastasia R Demaio, LMSW
• Nick Demaio III, MA; LCSW
• Richard Diotalevi, DMD
• Deborah Lynn Ellsworth, LCSW
• Michael Bruce Enson, MSW LCSW

• Certified Registered Nurse Anesthetist in Bethany, CT
• Providers in Bethany, CT by specialty
• Certified Registered Nurse Anesthetist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.