Active NPI
Nicholas Marc Hommez, CRNA
- Certified Registered Nurse Anesthetist
- Sarasota, FL
National Provider Identifier
1518199504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ANT9290852
- Practice address
- 1261 S Tamiami TRL
Sarasota, FL 34239-2219 - Phone
- (941) 366-1164
- Fax
- (941) 366-3123
- NPI assigned
- Aug 10, 2009
- Sex
- Male
- 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 | ANT9290852 | FL | Primary |
Addresses
Primary practice location
1261 S Tamiami TRL
Sarasota, FL 34239-2219
Mailing address
1261 S Tamiami TRL
Sarasota, FL 34239-2219
Phone (941) 366-1164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 615 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regions Hospital | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients | |
| Sarasota Anesthesia | Past | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
Organizations & group practices 4
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.
-
dba Regions Professional Group
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
-
dba HealthPartners Specialty Center Woodbury
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
-
dba Regions Hospital Rehabilitation
- Rehabilitation Clinic/Center
- Saint Paul, MN
- NPI 1134157092
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245663509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1518199504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1261 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392219",
"telephone_number": "941-366-1164",
"fax_number": "941-366-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392219",
"telephone_number": "941-366-1164",
"fax_number": "941-366-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMMEZ",
"first_name": "NICHOLAS",
"middle_name": "MARC",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-10",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ANT9290852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.