Active NPI
Janaina Fernandes Gequelin, CRNA
- Certified Registered Nurse Anesthetist
- Punta Gorda, FL
National Provider Identifier
1265925655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9335309
- Practice address
- 809 E Marion Ave
Punta Gorda, FL 33950-3819 - Phone
- (941) 637-2580
- Fax
- (941) 637-2571
- NPI assigned
- Jun 11, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9335309 | FL | Primary |
Addresses
Primary practice location
809 E Marion Ave
Punta Gorda, FL 33950-3819
Mailing address
PO Box 510626
Punta Gorda, FL 33951-0626
Phone (941) 625-1951
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9335309 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sebastian River Anesthesiology Associates, P. a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Sebastian, FL
- NPI 1730161993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1265925655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510626",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339510626",
"telephone_number": "941-625-1951",
"fax_number": "941-625-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 E MARION AVE",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503819",
"telephone_number": "941-637-2580",
"fax_number": "941-637-2571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEQUELIN",
"first_name": "JANAINA",
"middle_name": "FERNANDES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9335309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.