Active NPI
Martha Maria Polizzi, CRNA
- Certified Registered Nurse Anesthetist
- Pembroke Pines, FL
National Provider Identifier
1700861945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9194063
- Practice address
- 703 N. Flamingo Road
Suite a-250
Pembroke Pines, FL 33028 - Phone
- (954) 436-5000
- Fax
- (954) 450-4449
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9194063 | FL | Primary |
Addresses
Primary practice location
703 N. Flamingo Road
Suite a-250
Pembroke Pines, FL 33028
Mailing address
1613 North Harrison Parkway
Suite 200
Sunrise, FL 33323-2583
Phone (954) 838-2371
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G3146 | Other | FL | BCBS |
| 304982500 | Medicaid | FL |
Other names 1
- Martha Maria Capozziello
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9194063 | FL | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1700861945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 NORTH HARRISON PARKWAY",
"address_2": "SUITE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232583",
"telephone_number": "954-838-2371",
"fax_number": "954-851-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N. FLAMINGO ROAD",
"address_2": "SUITE A-250",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33028",
"telephone_number": "954-436-5000",
"fax_number": "954-450-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLIZZI",
"first_name": "MARTHA",
"middle_name": "MARIA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9194063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G3146",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304982500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "CAPOZZIELLO",
"middle_name": "MARIA",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.