Individual provider Active NPI

Susan Kollmar, CRNA

  • Certified Registered Nurse Anesthetist
  • Englewood, FL
National Provider Identifier
1326143371
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
022674 Issued in FL
Practice address
1830 Bahia Terrado
Englewood, FL 34223-1502
Phone
(941) 474-1800
Fax
(941) 475-7792
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 022674 FL Primary

Addresses

Primary practice location

1830 Bahia Terrado
Englewood, FL 34223-1502

Mailing address

1830 Bahia Terrado
Englewood, FL 34223
Phone (941) 474-1800

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, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
022674FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Anesthesiologists, PA PastSince Jan 26, 2004 Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients
Spartan Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Monmouth Anesthesia Associates Past Accepting new patients
Delrosario Anesthesia LLC Past Accepting new patients
Liberty Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Michael W. Kemplin, MD, PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326143371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BAHIA TERRADO",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34223",
            "telephone_number": "941-474-1800",
            "fax_number": "941-475-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BAHIA TERRADO",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231502",
            "telephone_number": "941-474-1800",
            "fax_number": "941-475-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLMAR",
        "first_name": "SUSAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "022674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.