Organization Active NPI

Coastal Breeze Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Englewood, FL
National Provider Identifier
1568895001
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2538882 Issued in FL
Legal business name
COASTAL BREEZE ANESTHESIA PLLC
Practice address
1750 Englewood Rd
Englewood, FL 34223-1821
Phone
(941) 681-3555
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Betsy Schecter, CRNA
Title
President
Phone
(336) 821-4167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 2538882 FL Primary

Addresses

Primary practice location

1750 Englewood Rd
Englewood, FL 34223-1821

Mailing address

PO Box 16068
High Point, NC 27261-6068

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1568895001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16068",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272616068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ENGLEWOOD RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231821",
            "telephone_number": "941-681-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BREEZE ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "SCHECTER",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-821-4167",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "2538882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.