Individual provider Active NPI

Kelly Edwards, CRNA

  • Certified Registered Nurse Anesthetist
  • Sarasota, FL
National Provider Identifier
1720447352
Registry record updated May 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11007072 Issued in FL
Practice address
3333 Cattlemen Rd
Sarasota, FL 34232-6056
Phone
(540) 597-7021
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2020

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 0024173261 VA
Certified Registered Nurse Anesthetist 367500000X 11007072 FL Primary

Addresses

Primary practice location

3333 Cattlemen Rd
Sarasota, FL 34232-6056

Mailing address

11408 Golden Bay PL
Lakewood Ranch, FL 34211-3404
Phone (540) 597-7021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160323001696 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830496512 Reassigns benefits to 1 organization
I20200519001699 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830496512 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians

Practice addresses (Care Compare)

1917 Worth CT
Bradenton, FL 34211-2110
Phone (941) 792-1404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007072FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Aug 4, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 18, 2020 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Valley Anesthesia PC CurrentSince Nov 15, 2019 Accepting new patients
Spartan Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Gateway Anesthesia Services PC Past Accepting new patients

Locations

1917 Worth Ct
Bradenton, FL 34211
Phone (866) 747-0391

411 2nd St E
Bradenton, FL 34208
Phone (941) 746-1121

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

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

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

600 N Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 234-0498

3333 Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 376-4546

2851 Height St
Sarasota, FL 34240
Phone (516) 458-5128

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 7

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1720447352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 GOLDEN BAY PL",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342113404",
            "telephone_number": "540-597-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326056",
            "telephone_number": "540-597-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KELLY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024173261",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11007072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; 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.