Individual provider Active NPI

Sandra Diann Bryant, CRNA

  • Certified Registered Nurse Anesthetist
  • Gainesville, FL
National Provider Identifier
1538149992
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9189851 Issued in FL
Practice address
800 SW 2ND Ave
Gainesville, FL 32601-6209
Phone
(352) 338-2112
Fax
(352) 328-6799
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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 ARNP9189851 FL Primary

Addresses

Primary practice location

800 SW 2ND Ave
Gainesville, FL 32601-6209

Mailing address

5890 NE 65TH St
Silver Springs, FL 34488-1129
Phone (352) 438-2281

Other identifiers 1

IdentifierTypeStateIssuer
305825500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000899 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113823352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nature Coast Anesthesia Providers PAGroup PAC ID 2163471723, 26 clinicians

Practice addresses (Care Compare)

17560 US Hwy 441
Mount Dora, FL 32757-6711
Phone (352) 735-2020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9189851FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nature Coast Anesthesia Providers, P.a. Nurse Anesthetist, Certified Registered CurrentSince Jul 5, 2022 Accepting new patients
Lake County Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Mount Nittany Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
Miami Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Solace Anesthesia, LLC Nurse Anesthetist, Certified Registered PastSince Nov 3, 2019 Accepting new patients
Michael E Donohoe Crna Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
GS Reed Agency Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

17560 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-7855

1879 Nightingale Ln
Ste A2
Tavares, FL 32778
Phone (352) 742-0079

8564 E County Road 466
Ste 101
The Villages, FL 32162
Phone (352) 561-4950

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1538149992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 NE 65TH ST",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344881129",
            "telephone_number": "352-438-2281",
            "fax_number": "352-438-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW 2ND AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016209",
            "telephone_number": "352-338-2112",
            "fax_number": "352-328-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "SANDRA",
        "middle_name": "DIANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9189851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305825500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.