Individual provider Active NPI

Jessica Colindres, CRNA

  • Certified Registered Nurse Anesthetist
  • Plantation, FL
National Provider Identifier
1639633639
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11001157 Issued in FL
Practice address
7700 W Sunrise Blvd
Plantation, FL 33322-4113
Phone
(800) 437-2672
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 APRN11001157 FL Primary

Addresses

Primary practice location

7700 W Sunrise Blvd
Plantation, FL 33322-4113

Mailing address

3816 SW 90TH Ave
Miramar, FL 33025-7619

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcolindres206082@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326000229 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183964331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galloway Anesthesia Associates LLCGroup PAC ID 0143402917, 94 clinicians
Anesthesia Physician Solutions of South Florida, LLCGroup PAC ID 4688805286, 238 clinicians

Practice addresses (Care Compare)

3001 Coral Springs Dr
Coral Springs, FL 33065-3829
Phone (954) 837-1201

7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 939-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 11, 2024 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 11, 2024 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Apr 1, 2019 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 CurrentSince Nov 1, 2024 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients

Locations

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

11011 Sheridan St
Ste 106
Hollywood, FL 33026
Phone (954) 435-0101

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Interoperability endpoints

  • Direct secure messaging: jcolindres206082@mhsdirect.net

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1639633639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 SW 90TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224113",
            "telephone_number": "800-437-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLINDRES",
        "first_name": "JESSICA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11001157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcolindres206082@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "7700 W Sunrise Blvd",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333224113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.