Individual provider Active NPI

Jonathan Cotton, CRNA

  • Certified Registered Nurse Anesthetist
  • Virginia Beach, VA
National Provider Identifier
1639187446
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
24165697 Issued in VA
Practice address
816 Independence Blvd Ste 2G
Virginia Beach, VA 23455-6010
Phone
(757) 363-6728
Fax
(757) 363-6204
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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 24165697 VA Primary

Addresses

Primary practice location

816 Independence Blvd Ste 2G
Virginia Beach, VA 23455-6010

Mailing address

816 Independence Blvd Ste 2G
Virginia Beach, VA 23455-6010
Phone (757) 363-6728

Other practice location 1

2430 Emerald Pl Ste 201
Greenville, NC 27834-5743
Phone (252) 752-2140 ext. 102

Other identifiers 1

IdentifierTypeStateIssuer
010011116MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110513000564 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042496762 Reassigns benefits to 3 organizations
I20160401001768 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042496762 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24165697VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Apr 15, 2022 Accepting new patients
Albemarle Physician Services- Sentara, Inc. Anesthesiology CurrentSince Apr 11, 2016 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Apr 11, 2016 Accepting new patients
Sarmc Anesthesia Specialist LLC CurrentSince Mar 17, 2016 Accepting new patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Mar 1, 2013 Accepting new patients
Albemarle Physician Services - Sentara, Inc Current Accepting new patients
Sentara Medical Group Current Accepting new patients
Goodwin & Snyder Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140

5200 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-4187

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

1037 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 491-3535

816 Independence Blvd
Ste 2G
Virginia Beach, VA 23455
Phone (757) 363-6230

229 Clearfield Ave
Ste 200
Virginia Beach, VA 23462
Phone (757) 312-6300

5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000

Organizations & group practices 8

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1639187446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD STE 2G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-363-6728",
            "fax_number": "757-363-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD STE 2G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-363-6728",
            "fax_number": "757-363-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Emerald Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278345743",
            "country_code": "US",
            "telephone_number": "252-752-2140 x102",
            "fax_number": "252-565-8463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTON",
        "first_name": "JONATHAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "24165697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010011116",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.