Individual provider Active NPI

Cynthia D Nicholas, CRNA

  • Certified Registered Nurse Anesthetist
  • St Petersburg, FL
National Provider Identifier
1710142617
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2716692 Issued in FL
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
026268600MedicaidFL
AZ378ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081220000119 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183786486 Reassigns benefits to 3 organizations
I20230912003730 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183786486 Reassigns benefits to 1 organization
I20250318003312 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183786486 Reassigns benefits to 1 organization

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
Choa Hospital Based, LLCGroup PAC ID 4688812498, 97 clinicians

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

LicenseStateTypeSpecialty
RN 2716692FLMDPediatric Registered Nurse
2716692FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Cloud Anesthesia, LLC CurrentSince Sep 12, 2025 Accepting new patients
Children's Health Care CurrentSince Jul 5, 2023 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
James G Hankerson PA Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Blue Cloud Anesthesia, LLC Current Accepting new patients
Choa Multispecialty, LLC Current Accepting new patients
Choa Hospital Based, LLC CurrentSince Jan 30, 2025 Accepting new patients
Pediatric Physician Services, Inc. CurrentSince Jan 11, 2025 Accepting new patients
Childrens Health Care CurrentSince Jul 5, 2023 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

  • Direct secure messaging: cnicholas316151@orlandohealth.medalliesdirect.net
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.