Active NPI
Nit Khamvongs, CRNA
- Certified Registered Nurse Anesthetist
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9232218
- Practice address
- 3500 US Highway 1
Vero Beach, FL 32960-4511 - Phone
- (772) 299-1404
- Fax
- (772) 299-1455
- NPI assigned
- Sep 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9232218 | FL | Primary |
| Nurse Practitioner | 363L00000X | 9232218 | FL |
Addresses
Primary practice location
3500 US Highway 1
Vero Beach, FL 32960-4511
Mailing address
3500 US Highway 1
Vero Beach, FL 32960-4511
Phone (772) 299-1404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307376900 | Medicaid | FL |
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1715 SE Tiffany Ave
Port St Lucie, FL 34952-7511
Phone (772) 335-7005
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9232218 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William J. Mallon, MD | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Treasure Coast Anesthesia Group PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Port St Lucie Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsurg Citrus Anesthesia LLC | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Indian River Health Services Inc | Current | Accepting new patients |
Locations
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
2861 Delaney Ave
Ste A
Orlando, FL 32806
Phone (407) 472-5095
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
1715 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 335-3939
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
1000 36th St
Ste 244
Vero Beach, FL 32960
Phone (772) 778-9621
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
3500 US Highway 1
Vero Beach, FL 32960
Phone (772) 202-6625
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
Organizations & group practices 9
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
- Port St Lucie, FL
- NPI 1215441134
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Stuart, FL
- NPI 1013350875
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1255774212
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- Vero Beach, FL
- NPI 1649353582
-
- Anesthesiology Physician
- Vero Beach, FL
- NPI 1609424415
-
- Anesthesiology Physician
- Palm Beach Gardens, FL
- NPI 1437721966
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1316038532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 US HIGHWAY 1",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604511",
"telephone_number": "772-299-1404",
"fax_number": "772-299-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 US HIGHWAY 1",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604511",
"telephone_number": "772-299-1404",
"fax_number": "772-299-1455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAMVONGS",
"first_name": "NIT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9232218",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9232218",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307376900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.