Active NPI
Cynthia D Nicholas, CRNA
- Certified Registered Nurse Anesthetist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2716692
- Practice address
- 501 6TH Ave S
St Petersburg, FL 33701-4634 - Phone
- (727) 767-8480
- Fax
- (727) 767-8420
- NPI assigned
- Jul 21, 2008
- Last updated
- Aug 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2716692 | FL | Primary |
| Pediatric Registered Nurse | 163WP0200X | RN 2716692 | FL |
Addresses
Primary practice location
501 6TH Ave S
St Petersburg, FL 33701-4634
Mailing address
501 6TH Ave S
St Petersburg, FL 33701-4634
Phone (727) 767-8480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026268600 | Medicaid | FL | |
| AZ378Z | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MN, GA
Enrollment records 3
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
Practice addresses (Care Compare)
1364 Clifton Rd NE
Atlanta, GA 30022-1059
Phone (404) 785-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 2716692 | FL | MD | Pediatric Registered Nurse |
| 2716692 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Cloud Anesthesia, LLC | Current | Accepting new patients | |
| Children's Health Care | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| James G Hankerson PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Blue Cloud Anesthesia, LLC | Current | Accepting new patients | |
| Choa Multispecialty, LLC | Current | Accepting new patients | |
| Choa Hospital Based, LLC | Current | Accepting new patients | |
| Pediatric Physician Services, Inc. | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients |
Locations
885 S Parsons Ave
Brandon, FL 33511
Phone (813) 436-5900
4550 Colonial Blvd
Fort Myers, FL 33966
Phone (239) 931-5700
3310 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 802-6600
4443 Rowan Rd
New Port Richey, FL 34653
Phone (727) 846-9900
4650 N Dixie Hwy
Oakland Park, FL 33334
Phone (717) 759-4375
5881 Rand Blvd
Sarasota, FL 34238
Phone (727) 822-4300
501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
10909 W Linebaugh Ave
Ste 102
Tampa, FL 33626
Phone (813) 498-2629
12220 Bruce B Downs Blvd
Tampa, FL 33612
Phone (727) 892-4200
1715 N West Shore Blvd
Ste 190
Tampa, FL 33607
Phone (813) 870-1000
2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900
3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
9709 Lakeside Blvd
Ste 350
Spring, TX 77381
Interoperability endpoints
- cnicholas316151@orlandohealth.medalliesdirect.net
- cnicholas733573@direct.hopkinsmedicine.org
Organizations & group practices 10
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.
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1376287730
-
dba Magnolia Anesthesia Consultants
- Anesthesiology Physician
- Tampa, FL
- NPI 1235332354
Nurse Anesthetist, Certified Registered
-
dba All Children's Specialty Physicians
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
- Anesthesiology Physician
- Palm Springs, FL
- NPI 1053014746
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Radiology Clinic/Center
- Minneapolis, MN
- NPI 1093994030
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1710142617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 6TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014634",
"telephone_number": "727-767-8480",
"fax_number": "727-767-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 6TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014634",
"telephone_number": "727-767-8480",
"fax_number": "727-767-8420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLAS",
"first_name": "CYNTHIA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "2716692",
"primary": true
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "FL",
"license": "RN 2716692",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026268600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "AZ378Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.