Active NPI
Preetha Samuel, CRNA
- Certified Registered Nurse Anesthetist
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11011610
- Practice address
- 401 NW 42ND Ave
Plantation, FL 33317-2835 - Phone
- (954) 587-5010
- NPI assigned
- Nov 18, 2020
- Last updated
- May 30, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 11011610 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11011610 | FL | Primary |
Addresses
Primary practice location
401 NW 42ND Ave
Plantation, FL 33317-2835
Mailing address
13444 NW 13TH St
Pembroke Pines, FL 33028-2718
Phone (305) 746-7794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558964833 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S 23Rd St
Lawnwood Regional Medical Center
Fort Pierce, FL 34950-4803
Phone (772) 461-4000
3476 S University Dr
HCA Florida University Hospital
Davie, FL 33328-2000
Phone (954) 475-4400
7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011610 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Medicine Services of FL, LLC | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
Organizations & group practices 5
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
- Miami, FL
- NPI 1346947496
-
- Anesthesiology Physician
- Miami, FL
- NPI 1104248699
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Anesthesiology Physician
- Tamarac, FL
- NPI 1366864852
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1437823507
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida University Hospital
- General Acute Care Hospital
- Davie, FL
- NPI 1871182956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622332800000",
"number": "1558964833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13444 NW 13TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282718",
"telephone_number": "305-746-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 NW 42ND AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172835",
"telephone_number": "954-587-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "PREETHA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2021-05-30",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11011610",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11011610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558964833",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
- Sheila Saltzman
- Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
- Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
- Samantha Shirl Samarelli, LMHC
- Angela Mary-Riad Samuel, M.D.
- Pauline Samuels
- Andrea Gabrielle Sanchez Sosa
- Ben-Emir Sanchez, MD
- Lilian Sanchez
- Cidney Sanctious, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.