Active NPI
Jody L. Heriot, CRNA
- Certified Registered Nurse Anesthetist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP927462
- Practice address
- 4725 N. Federal Highway
Fort Lauderdale, FL 33308-4603 - Phone
- (954) 771-8000
- Fax
- (954) 776-3270
- NPI assigned
- Feb 9, 2006
- Last updated
- Aug 28, 2012
- 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 | ARNP927462 | FL | Primary |
Addresses
Primary practice location
4725 N. Federal Highway
Fort Lauderdale, FL 33308-4603
Mailing address
PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G1492 | Other | FL | BLUE CROSS BLUE SHIELD |
| G1492 | Other | BCBS PROVIDER # | |
| 306481600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital, Inc | Current | Accepting new patients | |
| Holy Cross Hospital Inc | Current | Accepting new patients | |
| Holy Cross Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| Princeton Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesco Anesthesia Associates Inc | Past | Accepting new patients |
Locations
21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210
4725 N Federal Hwy
#G
Ft Lauderdale, FL 33308
Phone (954) 492-5748
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
Organizations & group practices 6
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.
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
dba Holy Cross Diabetes Prevention Program
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
dba Ft Lauderdale Anesthesia Services
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1487405718
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hollywood, FL
- NPI 1629066832
-
- Anesthesiology Physician
- Monroe, NJ
- NPI 1356608822
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1730152919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551420",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333551420",
"telephone_number": "800-243-3839",
"fax_number": "855-851-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 N. FEDERAL HIGHWAY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084603",
"telephone_number": "954-771-8000",
"fax_number": "954-776-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERIOT",
"first_name": "JODY",
"middle_name": "L.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP927462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "G1492",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "G1492",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306481600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.