Active NPI
Angela Leake, CRNA
- Certified Registered Nurse Anesthetist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9264899
- Practice address
- 449 W 23 St
Panama City, FL 32405 - Phone
- (800) 437-2672
- Fax
- (954) 851-1746
- NPI assigned
- Jan 20, 2017
- Last updated
- Aug 19, 2019
- 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 | APRN9264899 | FL | Primary |
| Registered Nurse | 163W00000X | 9264899 | FL |
Addresses
Primary practice location
449 W 23 St
Panama City, FL 32405
Mailing address
PO Box 744524
Atlanta, GA 30374-4524
Phone (800) 437-2672
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
449 W 23Rd St
Panama City, FL 32405-4507
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9264899 | FL | MD | Registered Nurse |
| APRN9264899 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191
449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
Nurse Anesthetist, Certified Registered
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Panama City, FL
- NPI 1487160263
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1902478431
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1336686054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744524",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744524",
"telephone_number": "800-437-2672",
"fax_number": "954-851-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 W 23 ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "32405",
"telephone_number": "800-437-2672",
"fax_number": "954-851-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAKE",
"first_name": "ANGELA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-20",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9264899",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9264899",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.