Active NPI
Taylor Reid Jordan, CRNA
- Certified Registered Nurse Anesthetist
- Lithia, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 8141
- Practice address
- 17890 Boyette Rd
Lithia, FL 33547-1930 - Phone
- (813) 309-6702
- NPI assigned
- Feb 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11040200 | FL | |
| Registered Nurse | 163W00000X | 9511630 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 8141 | NC | Primary |
Addresses
Primary practice location
17890 Boyette Rd
Lithia, FL 33547-1930
Mailing address
17890 Boyette Rd
Lithia, FL 33547-1930
Phone (813) 309-6702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250714004080 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1557876083 | Reassigns benefits to 2 organizations |
| I20260325000002 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1557876083 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health New Hanover Regional Medical Center LLCGreater Florida Anesthesiologists LLC
Practice addresses (Care Compare)
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (954) 393-5000
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (954) 939-5000
900 Carillon Pkwy
Suite 205
Saint Petersburg, FL 33716-1108
Phone (954) 939-5000
Hospital & facility affiliations
- Adventhealth Tampa
- Novant Health New Hanover Regional Medical Center
- AdventHealth Carrollwood
- Adventhealth Wesley Chapel
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9511630 | FL | MD | Registered Nurse |
| 8141 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthcare Career Services LLC | Single Specialty | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Single Specialty | Current | Accepting new patients |
| Tampa Bay Joint and Spine, LLC | Past | Accepting new patients |
Locations
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
26034 US Highway 19 N
Clearwater, FL 33763
Phone (727) 371-2500
3901 NW 79th Ave
Ste 245
Doral, FL 33166
Phone (904) 345-0548
2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
NC
-
- Anesthesiology Physician
- Clearwater, FL
- NPI 1790447910
FL, Single Specialty
-
- Community/Retail Pharmacy
- Wilmington, NC
- NPI 1366585200
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- Rehabilitation Hospital
- Wilmington, NC
- NPI 1508453754
-
- Ambulance
- Wilmington, NC
- NPI 1730776816
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1013589266
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
Single Specialty
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
-
- Ambulatory Surgical Clinic/Center
- Clearwater, FL
- NPI 1063092047
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
Hospital
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1649035197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17890 BOYETTE RD",
"city": "LITHIA",
"state": "FL",
"postal_code": "335471930",
"telephone_number": "813-309-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17890 BOYETTE RD",
"city": "LITHIA",
"state": "FL",
"postal_code": "335471930",
"telephone_number": "813-309-6702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "TAYLOR",
"middle_name": "REID",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-14",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11040200",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "FL",
"license": "9511630",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "8141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.