Individual provider Active NPI

Ellen Rey, CRNA

  • Certified Registered Nurse Anesthetist
  • Pembroke Pines, FL
National Provider Identifier
1487643128
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
907042 Issued in FL
Practice address
1110 SW 152ND Ter
Pembroke Pines, FL 33027-2206
Phone
(954) 450-2127
Fax
(954) 450-0124
NPI assigned
Oct 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 907042 FL Primary

Addresses

Primary practice location

1110 SW 152ND Ter
Pembroke Pines, FL 33027-2206

Mailing address

1110 SW 152ND Ter
Pembroke Pines, FL 33027-2206
Phone (954) 450-2127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000576 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416860804 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
40182WVMDLicensed Practical Nurse
907042FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rory Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2010 Accepting new patients
Wolverine Anesthesia Consultants, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Northwest Anesthesiologist Group PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Heartland Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Consultant Anesthetic Services PA Past Accepting new patients
Lake County Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Anesthesia Group, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2540 NE 9th St
Ft Lauderdale, FL 33304
Phone (954) 537-4000

2441 SW 37th Ave
Miami, FL 33145
Phone (305) 442-0055

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1129420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1487643128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SW 152ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330272206",
            "telephone_number": "954-450-2127",
            "fax_number": "954-450-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SW 152ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330272206",
            "telephone_number": "954-450-2127",
            "fax_number": "954-450-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REY",
        "first_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-16",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "907042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.