Active NPI
Amanda Rena Brown, CRNA
- Certified Registered Nurse Anesthetist
- Panama City, FL
National Provider Identifier
1235261595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9216040
- Practice address
- 653 W. 23Rd
#284
Panama City, FL 32405 - Phone
- (850) 896-8799
- Fax
- (850) 896-8799
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN149514 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 4386 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 9216040 | FL | Primary |
Addresses
Primary practice location
653 W. 23Rd
#284
Panama City, FL 32405
Mailing address
653 W. 23Rd
#284
Panama City, FL 32404
Phone (850) 896-8799
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000503500 | Medicaid | FL | |
| BH925Z | Other | FL | MEDICARE |
Other names 1
- Mrs. Amanda Rena Witherspoon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
202 Doctors Dr
Panama City, FL 32405-4454
Phone (850) 522-1930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4386 | SC | MD | Physician Assistant |
| 9216040 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Surgical Center for Excellence, LLLP | Current | Accepting new patients | |
| Antebellum Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Memphis Anesthesia Services PLC | Past | Accepting new patients | |
| Sweet Dreams of Albany LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Rural Health Pain Management LLC | Past | Accepting new patients |
Locations
653 W 23rd St
Panama City, FL 32405
Phone (850) 819-5614
202 Doctors Dr
Panama City, FL 32405
Phone (850) 482-7200
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.
-
- Certified Registered Nurse Anesthetist
- Panama City, FL
- NPI 1770016503
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Panama City, FL
- NPI 1174503080
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1578592663
-
- Pain Medicine (Anesthesiology) Physician
- Forrest City, AR
- NPI 1265039556
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1710138805
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235261595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 W. 23RD",
"address_2": "#284",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32404",
"telephone_number": "850-896-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 W. 23RD",
"address_2": "#284",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "850-896-8799",
"fax_number": "850-896-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "AMANDA",
"middle_name": "RENA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN149514",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "4386",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9216040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000503500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "BH925Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "WITHERSPOON",
"middle_name": "RENA",
"prefix": "MRS.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.