Individual provider Active NPI

Carol Hockman Laraway, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
National Provider Identifier
1245282656
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9220102 Issued in FL
Practice address
3949 Evans Ave
Ste 102
Fort Myers, FL 33901-9335
Phone
(239) 939-2622
Fax
(239) 939-0151
NPI assigned
May 16, 2006
Last updated
Jul 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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 ARNP9220102 FL Primary

Addresses

Primary practice location

3949 Evans Ave
Ste 102
Fort Myers, FL 33901-9335

Mailing address

PO Box 413012
Naples, FL 34101-3012
Phone (239) 261-1158

Other identifiers 2

IdentifierTypeStateIssuer
G3991OtherFLBLUE CROSS AND BLUE SHIEL
P00363216OtherFLMEDICARE RAILROAD

Other names 1

  • Carol Ann Hockman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060814000464 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466455324 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9220102FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services Plus Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 22, 2019 Accepting new patients
Anesthesia & Pain Consultants of SW FL CurrentSince Jul 15, 2007 Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc PastSince Jan 1, 2013 Accepting new patients
Key Practice Management Solutions LLC Past Accepting new patients
Collier Anesthesia PA Past Accepting new patients
University Anesthesia Past Accepting new patients

Locations

12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone (239) 939-4903

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

3949 Evans Ave
Ste 102
Fort Myers, FL 33901
Phone (239) 939-2566

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1245282656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413012",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341013012",
            "telephone_number": "239-261-1158",
            "fax_number": "239-261-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 EVANS AVE",
            "address_2": "STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019335",
            "telephone_number": "239-939-2622",
            "fax_number": "239-939-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARAWAY",
        "first_name": "CAROL",
        "middle_name": "HOCKMAN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9220102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "G3991",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00363216",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "HOCKMAN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.