Individual provider Active NPI

Kristin Avanell Beck, AA-C

  • Anesthesiologist Assistant
  • Trinity, FL
National Provider Identifier
1376922161
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA266 Issued in FL
Practice address
2102 Trinity Oaks Blvd
Trinity, FL 34655-4409
Phone
(727) 230-1576
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiologist Assistant 367H00000X AA266 FL Primary

Addresses

Primary practice location

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409

Mailing address

1100 NW Englewood Rd
Kansas City, MO 64118-3122
Phone (816) 616-5793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804005533 FL Practitioner - Anesthesiology Assistant 9032423017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Anesthesia LLCGroup PAC ID 1153385612, 42 clinicians

Practice addresses (Care Compare)

8787 Bryan Dairy Rd
Suite 300
Largo, FL 33777-1252
Phone (954) 939-5000

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Anesthesia LLC CurrentSince Jul 1, 2015 Accepting new patients
Bay Area Anesthesia LLC CurrentSince Jul 1, 2015 Accepting new patients

Locations

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

8787 Bryan Dairy Rd
Ste 300
Seminole, FL 33777
Phone (727) 394-5300

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

2020 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4055

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1376922161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW ENGLEWOOD RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183122",
            "telephone_number": "816-616-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 TRINITY OAKS BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554409",
            "telephone_number": "727-230-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "KRISTIN",
        "middle_name": "AVANELL",
        "credential": "AA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.