Active NPI
Deborah A. Geisler, CRNA
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
National Provider Identifier
1356301592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9186182
- Practice address
- 1605 Lakes Pkwy
Lawrenceville, GA 30043-5858 - Phone
- (904) 819-4478
- Fax
- (904) 819-4993
- NPI assigned
- Mar 23, 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 | ARNP9186182 | FL | Primary |
Addresses
Primary practice location
1605 Lakes Pkwy
Lawrenceville, GA 30043-5858
Mailing address
1605 Lakes Parkway
Lawrenceville, GA 30043-5858
Phone (904) 819-4478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304841100 | Medicaid | FL |
Other names 1
- Deborah A. Hendricks
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9186182 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Florida Anesthesia Consultants Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Jacksonville Beaches Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Jacksonville Anesthesia Corporation Inc | Past | Accepting new patients | |
| Christian L Koppel MD PA | Past | Accepting new patients | |
| Florida Anesthesia Associates P a | Past | Accepting new patients |
Organizations & group practices 5
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
- Jacksonville, FL
- NPI 1457623514
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1740264118
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1033163738
-
- Anesthesiology Physician
- Jacksonville Beach, FL
- NPI 1174781744
Nurse Anesthetist, Certified Registered
-
dba North Florida Anesthesia Consultants
- Certified Registered Nurse Anesthetist
- Sunrise, FL
- NPI 1497702229
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356301592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 LAKES PARKWAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435858",
"telephone_number": "904-819-4478",
"fax_number": "904-819-4993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 LAKES PKWY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300435858",
"telephone_number": "904-819-4478",
"fax_number": "904-819-4993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISLER",
"first_name": "DEBORAH",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9186182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304841100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "HENDRICKS",
"middle_name": "A.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lawrenceville, GA
- Gateway Healthcare Systems LLC
- Crystal N Gaulden, LMSW
- Acquilla Labuku Gbunblee, RN
- Rita Kristina Gedgaudas-McClees, M.D.
- Gees Hope and Caring Agency, LLC
- Michael Alexander Geisler, CRNA
- Marquisha General, HAIR LOSS SPECIALIST
- Generous Care LLC (Generous Care Adult Day Center)
- Genesis 7 Transport
- Genesis 7 Transport
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.