Active NPI
Jenna Dundas Debrabant, CRNA
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
National Provider Identifier
1558488114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.09245-NA
- Practice address
- 4700 Smith Rd
Cincinnati, OH 45212-2787 - Phone
- (513) 672-3300
- Fax
- (513) 672-3323
- NPI assigned
- Mar 26, 2007
- Last updated
- Apr 20, 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 | COA.09245-NA | OH | Primary |
Addresses
Primary practice location
4700 Smith Rd
Cincinnati, OH 45212-2787
Mailing address
200 Northland Blvd
1St Floor
Cincinnati, OH 45246-3604
Phone (513) 672-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2787884 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.09245-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Center Clinic PA | Past | Accepting new patients | |
| Perioperative Medical Consutants Inc | Past | Accepting new patients | |
| Outpatient Anesthesia Specialists | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1891976643
-
- Anesthesiology Physician
- Fairfield, OH
- NPI 1124028162
-
dba Medical Center Clinic Ambulatory Surgical Center
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1558488114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NORTHLAND BLVD",
"address_2": "1ST FLOOR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463604",
"telephone_number": "513-672-3300",
"fax_number": "513-672-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SMITH RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122787",
"telephone_number": "513-672-3300",
"fax_number": "513-672-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBRABANT",
"first_name": "JENNA",
"middle_name": "DUNDAS",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.09245-NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2787884",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.