Individual provider Active NPI

Karla S Sherubawon, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
National Provider Identifier
1700218369
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9277236 Issued in FL
Practice address
100 N Dean Rd Ste 102
Orlando, FL 32825-3710
Phone
(407) 506-0006
NPI assigned
Aug 6, 2013
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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 APRN9277236 FL Primary

Addresses

Primary practice location

100 N Dean Rd Ste 102
Orlando, FL 32825-3710

Mailing address

2169 Plantation Oak Dr
Orlando, FL 32824-4869

Other names 1

  • Karla S Beckford Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170306001906 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476788357 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nature Coast Anesthesia Providers PAGroup PAC ID 2163471723, 26 clinicians
Mills Ave Anesthesia LLCGroup PAC ID 5395025662, 6 clinicians

Practice addresses (Care Compare)

160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 834-7776

1825 N Mills Ave
Orlando, FL 32803-1853
Phone (407) 206-2375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9277236FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 27, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Anesthesiologists of Greater Orlando Inc CurrentSince Jun 10, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jan 3, 2017 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 7, 2019 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Nature Coast Anesthesia Providers, P.a. Nurse Anesthetist, Certified Registered CurrentSince Jul 5, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Jan 3, 2017 Accepting new patients
Mills Ave Anesthesia LLC CurrentSince Feb 1, 2020 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2021 Accepting new patients
Sheridan Anesthesia Services of Virginia, Inc Nurse Anesthetist, Certified Registered PastSince May 21, 2023 Accepting new patients

Locations

160 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 775-7654

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

17560 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-7855

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

1825 N Mills Ave
Orlando, FL 32803
Phone (407) 206-2375

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

2906 17th St
Saint Cloud, FL 34769
Phone (407) 425-4847

560 Jackson St N
Ste 200
St Petersburg, FL 33705
Phone (727) 388-7326

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1879 Nightingale Ln
Ste A2
Tavares, FL 32778
Phone (352) 742-0079

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Networks

  • Freedom Health HMO Network

Organizations & group practices 12

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1700218369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 PLANTATION OAK DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N DEAN RD STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253710",
            "telephone_number": "407-506-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERUBAWON",
        "first_name": "KARLA",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9277236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "BECKFORD",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.