Individual provider Active NPI

Laura Alexis Brannon, CRNA

  • Certified Registered Nurse Anesthetist
  • London, KY
National Provider Identifier
1699760884
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3000063 Issued in KY
Practice address
1001 Saint Joseph LN
London, KY 40741-8345
Phone
(606) 330-6000
Fax
(606) 330-7825
NPI assigned
Sep 14, 2005
Last updated
Nov 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP 451472 FL
Certified Registered Nurse Anesthetist 367500000X ARNP 0024165709 VA
Certified Registered Nurse Anesthetist 367500000X ARNP 711364 TX
Certified Registered Nurse Anesthetist 367500000X 3000063 KY Primary

Addresses

Primary practice location

1001 Saint Joseph LN
London, KY 40741-8345

Mailing address

401 E Robinson St
Unit 403
Orlando, FL 32801-4331
Phone (407) 394-5223

Other identifiers 2

IdentifierTypeStateIssuer
305050900MedicaidFL
02157OtherFLBLUE SHIELD

Other names 1

  • Laura Lee Thomas Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040605000044 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052393717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

515 W State Rd
434 Suite 105
Longwood, FL 32750-5161
Phone (407) 260-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP 451472FLMDCertified Registered Nurse Anesthetist
ARNP 711364TXMDCertified Registered Nurse Anesthetist
ARNP 0024165709VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients
Louisville Endoscopy Center, PLLC Past Accepting new patients
Lake County Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Institute of Interventional Pain Management PA Past Accepting new patients
Morton Plant Mease Outpatient Anesthesiology PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Peace River Anesthesiology Associates PA Past Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

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

515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

7875 SW 104th St
Ste 201
Miami, FL 33156
Phone (305) 270-7572

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1699760884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E ROBINSON ST",
            "address_2": "UNIT 403",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328014331",
            "telephone_number": "407-394-5223",
            "fax_number": "866-645-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAINT JOSEPH LN",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418345",
            "telephone_number": "606-330-6000",
            "fax_number": "606-330-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "LAURA",
        "middle_name": "ALEXIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 451472",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "ARNP 0024165709",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "ARNP 711364",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3000063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305050900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "02157",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "THOMAS",
            "middle_name": "LEE",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.