Individual provider Active NPI

Tara Jean Caudill, CRNA

  • Certified Registered Nurse Anesthetist
  • St Petersburg, FL
National Provider Identifier
1275772808
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9280286 Issued in FL
Practice address
701 6TH St S
St Petersburg, FL 33701-4814
Phone
(727) 823-2188
Fax
(727) 823-9502
NPI assigned
Feb 4, 2009
Last updated
Mar 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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 ARNP9280286 FL Primary

Addresses

Primary practice location

701 6TH St S
St Petersburg, FL 33701-4814

Mailing address

8801 Falls Chapel Way
Potomac, MD 20854-2347

Other identifiers 4

IdentifierTypeStateIssuer
1942249271OtherFLGROUP NPI BAYFRONT ANESTHESIA SERVICE PA
G4781OtherFLBCBS OF FL
000876700MedicaidFL
P00887198OtherFLRR MCR ATTACHED TO GRP# CF4811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000322 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486703642 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Anesthesia LLCGroup PAC ID 4789123167, 24 clinicians
FDHS Anesthesia LLCGroup PAC ID 2365854718, 20 clinicians

Practice addresses (Care Compare)

2310 60TH St CT W
Bradenton, FL 34209-6609
Phone (941) 792-4993

2851 Height St
Sarasota, FL 34240-1390
Phone (516) 458-5128

2902 59TH St W
Suite Fandg
Bradenton, FL 34209-7023
Phone (941) 792-9685

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9280286FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfcoast Spine Institute, LLC CurrentSince May 1, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2021 Accepting new patients
Serenity Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2017 Accepting new patients
SRQ Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2026 Accepting new patients
FDHS Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Gulfcoast Spine Institute, LLC CurrentSince May 1, 2021 Accepting new patients
Sapphire Anesthesia LLC CurrentSince Dec 23, 2013 Accepting new patients
Anesthesia Services of Manatee LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Aurora Anesthesia LLC CurrentSince Jan 3, 2026 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Jul 6, 2013 Accepting new patients
SGF Tampa Bay LLC Past Accepting new patients
All Services Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Premier Anesthesia of the Sunshine State LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Advanced Anesthesia Associates LLC Past Accepting new patients
First Priority Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Services Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
West Florida Trauma Network, LLC PastSince Jan 20, 2019 Accepting new patients
Coastal Anesthesia Group LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Bayfront Anesthestia Services PA Past Accepting new patients

Locations

401 Corbett St
Ste 220
Belleair, FL 33756
Phone (727) 388-7326

200 3rd Ave W
Ste 170
Bradenton, FL 34205
Phone (941) 782-5434

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

2310 60th Street Ct W
Bradenton, FL 34209
Phone (941) 792-4993

2902 59th St W
Ste F
Bradenton, FL 34209
Phone (941) 792-9685

2902 59th St W
Ste Fandg
Bradenton, FL 34209
Phone (941) 792-9685

2902 59th St W
Ste G
Bradenton, FL 34209
Phone (941) 792-9685

5817 21st Ave W
Bradenton, FL 34209
Phone (941) 794-0379

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2323 Curlew Rd
Ste 5
Dunedin, FL 34698
Phone (727) 388-7326

63 Barkley Cir
Fort Myers, FL 33907
Phone (941) 936-5400

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

2089 Hawthorne St
Ste 100
Sarasota, FL 34239
Phone (941) 952-1145

2800 Bahia Vista St
Ste 300
Sarasota, FL 34239
Phone (941) 306-3166

2851 Height St
Sarasota, FL 34240
Phone (516) 458-5128

3325 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (941) 522-3480

983 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-5355

7300 Bryan Dairy Rd
Ste 495
Seminole, FL 33777
Phone (727) 451-6780

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

4211 W Boy Scout Blvd
Ste 400
Tampa, FL 33607
Phone (813) 443-2108

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1275772808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 FALLS CHAPEL WAY",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-823-2188",
            "fax_number": "727-823-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "TARA",
        "middle_name": "JEAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9280286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI BAYFRONT ANESTHESIA SERVICE PA",
            "identifier": "1942249271",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "G4781",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000876700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR ATTACHED TO GRP# CF4811",
            "identifier": "P00887198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.