Active NPI
Beena Kaithamattom
- Certified Registered Nurse Anesthetist
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP 9308536
- Practice address
- 700 West Oak Street
Osceola Regional Medical Center
Kissimmee, FL 34741 - Phone
- (407) 518-3553
- NPI assigned
- Jul 16, 2015
- Last updated
- Jul 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | ARNP 9308536 | FL | Primary |
Addresses
Primary practice location
700 West Oak Street
Osceola Regional Medical Center
Kissimmee, FL 34741
Mailing address
1613 N Harrison Pky #200
Sunrise, FL 33323
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 S Seminole Blvd
Sanford, FL 32771-6743
Phone (407) 321-4500
4500 W Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 367-2310
8300 Red Bug Lake Rd
Oviedo, FL 32765-6801
Phone (407) 359-4503
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9308536 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
2275 N Central Ave
Kissimmee, FL 34741
Phone (407) 570-0573
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
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
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Altamonte Springs, FL
- NPI 1649943564
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Lake Monroe Hospital
- General Acute Care Hospital
- Sanford, FL
- NPI 1285681908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1568846723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 N HARRISON PKY #200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "33323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WEST OAK STREET",
"address_2": "OSCEOLA REGIONAL MEDICAL CENTER",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34741",
"telephone_number": "407-518-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAITHAMATTOM",
"first_name": "BEENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP 9308536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.