Kevin J Greenwood P a

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AN1633502 Issued in FL

Legal business name

KEVIN J GREENWOOD P A

Practice address

9540 Venturi Dr
Trinity, FL 34655-4645

Phone

(727) 376-9097

Fax

(813) 433-5540

NPI assigned

Jan 26, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kevin J Greenwood, CRNA

Title

President

Phone

(727) 376-9097

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kevin J Greenwood P A Doing business as

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1427329150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 VENTURI DR",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554645",
            "telephone_number": "727-376-9097",
            "fax_number": "813-433-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 VENTURI DR",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554645",
            "telephone_number": "727-376-9097",
            "fax_number": "813-433-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J GREENWOOD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-376-9097",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "AN1633502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G0174",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kevin J Greenwood P A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paraskevi Himonetos Katsarelis, MSN, APRN, FNP-BC
• Sandeep Kaur-Kang, OTR/L
• Jordan J Kaylor
• William R Kelley Jr., MD
• Brittany Kennedy, DO
• Ka H Kim, ARNP
• Paul Kim
• Kimkare2U
• Kimberly D Kindt, CRNA
• Caleb Abraham King, MD

• Certified Registered Nurse Anesthetist in Trinity, FL
• Providers in Trinity, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.