Active NPI
Krista Holder
- Certified Registered Nurse Anesthetist
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9236005
- Practice address
- 1000 Waterman Way
Tavares, FL 32778-5266 - Phone
- (407) 667-0444
- NPI assigned
- Jun 7, 2011
- 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 | ARNP9236005 | FL | Primary |
| Registered Nurse | 163W00000X | RN 9236005 | FL |
Addresses
Primary practice location
1000 Waterman Way
Tavares, FL 32778-5266
Mailing address
291 Southhall LN
Suite 201
Maitland, FL 32751-7274
Phone (407) 667-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G00ST | Other | FL | BCBS |
| 003905400 | 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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500
4500 W Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 367-2310
Hospital & facility affiliations
- Central Florida Lake Monroe Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9236005 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Orlando Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kanumuri Medical Group PA | Past | Accepting new patients |
Locations
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
291 Southhall Ln
Ste 201
Maitland, FL 32751
Phone 40766704444
201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079
10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378
88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 6
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
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ocoee, FL
- NPI 1184661696
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1275973778
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- Anesthesiology Physician
- Lake Wales, FL
- NPI 1093761504
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1346534336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 SOUTHHALL LN",
"address_2": "SUITE 201",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517274",
"telephone_number": "407-667-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WATERMAN WAY",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785266",
"telephone_number": "407-667-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDER",
"first_name": "KRISTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9236005",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN 9236005",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G00ST",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003905400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.