Active NPI
Traci L Bazzano, CRNA
- Certified Registered Nurse Anesthetist
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN172807
- Practice address
- 4700 Waters Ave
Savannah, GA 31404-6220 - Phone
- (912) 350-8000
- NPI assigned
- Sep 1, 2006
- 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 | RN172807 | GA | Primary |
Addresses
Primary practice location
4700 Waters Ave
Savannah, GA 31404-6220
Mailing address
PO Box 933642
Atlanta, GA 31193-0001
Phone (912) 354-4847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541979731A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130430000104 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9436112687 | Reassigns benefits to 10 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- James G Hankerson PA
Practice addresses (Care Compare)
2727 W Dr Martin Luther King Jr Blvd
Suite 100
Tampa, FL 33607-6383
Phone (813) 877-8094
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN172807 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Joint and Spine, LLC | Current | Accepting new patients | |
| James G Hankerson PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tampa Bay Surgery Center Associates LTD | Current | Accepting new patients | |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthcare Career Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsurg Tampa Bay Anesthesia LLC | Current | Accepting new patients | |
| Quiescence Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tampa Bay Surgery Center Associates LTD | Current | Accepting new patients | |
| Feinerman Anesthesia PA | Current | Accepting new patients | |
| Vision Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Laser Spine Institute of Arizona, LLC | Past | Accepting new patients | |
| Vitalmd Group Holding LLC | Past | Accepting new patients | |
| Lsi Houston, PA | Past | Accepting new patients | |
| Eminence Anesthesia LLC | Past | Accepting new patients | |
| Butler Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations (25 of 40)
514 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 358-1568
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
402 Jeffords St
Clearwater, FL 33756
Phone (423) 505-2653
26034 US Highway 19 N
Clearwater, FL 33763
Phone (727) 371-2500
3280 N McMullen Booth Rd
Ste 110
Clearwater, FL 33761
Phone (727) 787-3000
93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166
9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597
10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118
9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020
619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
8500 SW 92nd St
Ste 204
Miami, FL 33156
Phone (305) 270-8944
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
308 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 426-2565
2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484
6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (407) 354-5401
598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565
1399 Jenks Ave
Bldg J
Panama City, FL 32401
Phone (850) 532-6303
Organizations & group practices 17
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.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1235332354
FL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1942671805
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Clearwater, FL
- NPI 1790447910
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1134740319
FL, Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Clearwater, FL
- NPI 1063092047
-
- Ambulatory Surgical Clinic/Center
- Tampa, FL
- NPI 1538664644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1285736280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933642",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311930001",
"telephone_number": "912-354-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WATERS AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-350-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZZANO",
"first_name": "TRACI",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN172807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "541979731A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.