Active NPI
Rozlyn Grace Poray, APRN, CRNA
- Certified Registered Nurse Anesthetist
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 7982
- Practice address
- 1450 Chapel St
New Haven, CT 06511-4440 - Phone
- (203) 416-9032
- NPI assigned
- Nov 28, 2018
- Last updated
- Dec 17, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 31389 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 7982 | CT | Primary |
| Registered Nurse | 163W00000X | 138969 | CT |
Addresses
Primary practice location
1450 Chapel St
New Haven, CT 06511-4440
Mailing address
4753 Mallard Lake CV
Collierville, TN 38017-9360
Phone (207) 416-9032
Other practice location 1
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-9666
Other practice location 2
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 448-5893
Other names 1
- Rozlyn Grace Petersen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NH, ME, TN
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Northcrest Dr
Springfield, TN 37172-3927
Phone (901) 844-1590
2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (901) 820-7000
333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 436-5110
435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-8336
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138969 | CT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Anesthesiology | Current | Accepting new patients |
| Bridgton Hospital | Current | Accepting new patients | |
| Yale University | Anesthesiology | Current | Accepting new patients |
| Rumford Hospital | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Anesthesiology | Current | Accepting new patients |
| Woodland Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
| Bridgton Hospital | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Portsmouth Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
| East Memphis Anesthesia Services PLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Anesthesiology | Current | Accepting new patients |
| Lifelinc Anesthesia VIII PLLC | Anesthesiology | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| Lifelinc Anesthesia II, PLLC | Anesthesiology | Current | Accepting new patients |
| Rumford Hospital | Current | Accepting new patients | |
| East Memphis Anesthesia Services, PLLC | Past | Accepting new patients |
Locations
701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
255 S Pauline St
Memphis, TN 38104
Phone (901) 261-2804
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 18
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
- Springfield, TN
- NPI 1821397233
-
- Anesthesiology Physician
- Newport, TN
- NPI 1679265052
-
- Anesthesiology Physician
- Portsmouth, NH
- NPI 1568584290
-
- Anesthesiology Physician
- Hartford, CT
- NPI 1437109824
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1578592663
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Portsmouth Regional Hospital
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
-
dba St. Francis Hospital-Bartlett
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1366912701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4753 MALLARD LAKE CV",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380179360",
"telephone_number": "207-416-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114440",
"telephone_number": "203-416-9032"
}
],
"practiceLocations": [
{
"address_1": "114 Woodland St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061051208",
"country_code": "US",
"telephone_number": "860-714-9666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "877 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032807",
"country_code": "US",
"telephone_number": "901-448-5893",
"fax_number": "901-448-5540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORAY",
"first_name": "ROZLYN",
"middle_name": "GRACE",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "31389",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "7982",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "138969",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROZLYN",
"last_name": "PETERSEN",
"middle_name": "GRACE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.