Active NPI
Lori E. Burbank, CRNA
- Certified Registered Nurse Anesthetist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9202695
- Practice address
- 400 N Mills Ave
Orlando, FL 32803-5722 - Phone
- (407) 581-9180
- Fax
- (407) 926-9173
- NPI assigned
- Jul 14, 2010
- 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 | ARNP9202695 | FL | Primary |
Addresses
Primary practice location
400 N Mills Ave
Orlando, FL 32803-5722
Mailing address
PO Box 4918
Orlando, FL 32802-4918
Phone (407) 581-9180
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G00H7 | Other | FL | BCBS |
| XXX-XX-2771 | Other | CHAMPUS / TRICARE (SOUTH REGION) | |
| 0025946 00 | Medicaid | FL | |
| P00878821 | Other | RAILROAD MEDICARE |
Other names 1
- Lori E. Bloemendaal
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 253-3333
401 Palmetto St
New Smyrna Beach, FL 32168-7322
Phone (386) 424-5000
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
300 Clyde Morris Blvd
Ste B
Ormond Beach, FL 32174
Phone (386) 672-1080
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
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.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Port Orange, FL
- NPI 1043654270
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1396058756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4918",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328024918",
"telephone_number": "407-581-9180",
"fax_number": "407-926-9173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035722",
"telephone_number": "407-581-9180",
"fax_number": "407-926-9173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURBANK",
"first_name": "LORI",
"middle_name": "E.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9202695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G00H7",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS / TRICARE (SOUTH REGION)",
"identifier": "XXX-XX-2771",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0025946 00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00878821",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "BLOEMENDAAL",
"middle_name": "E.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.