Individual provider Active NPI

Jeannie Tarazi, CRNA

  • Certified Registered Nurse Anesthetist
  • Royal Palm Beach, FL
National Provider Identifier
1700988367
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11001980 Issued in FL
Practice address
460 N State Road 7
Royal Palm Beach, FL 33411-3514
Phone
(561) 792-7333
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 101-0025491 VT
Certified Registered Nurse Anesthetist 367500000X APRN11001980 FL Primary

Addresses

Primary practice location

460 N State Road 7
Royal Palm Beach, FL 33411-3514

Mailing address

100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 447-4535

Other identifiers 1

IdentifierTypeStateIssuer
114048700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422000454 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648344044 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101-0025491VTMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 4, 2024 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 4, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2025 Accepting new patients

Locations

2351 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

16244 S Military Trl
Ste 670
Delray Beach, FL 33484
Phone (561) 637-5808

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

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

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1117 N Olive Ave
Ste 201
West Palm Beach, FL 33401
Phone (561) 327-7492

Organizations & group practices 3

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1700988367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015004",
            "telephone_number": "802-447-4535",
            "fax_number": "802-447-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N STATE ROAD 7",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113514",
            "telephone_number": "561-792-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAZI",
        "first_name": "JEANNIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "VT",
            "license": "101-0025491",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11001980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114048700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.