Individual provider Active NPI

Derrel Corvette Hooker, CRNA

  • Certified Registered Nurse Anesthetist
  • Bradenton, FL
National Provider Identifier
1760547145
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ANT9193963 Issued in FL
Practice address
8330 Lakewood Ranch Blvd
Bradenton, FL 34202-5174
Phone
(941) 745-6829
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ANT9193963 FL Primary

Addresses

Primary practice location

8330 Lakewood Ranch Blvd
Bradenton, FL 34202-5174

Mailing address

PO Box 863295
Orlando, FL 32886-3295

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160304000941 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214022623 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4170CAMDProfessional Counselor
ANT9193963FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Anesthesia CurrentSince Oct 2, 2024 Accepting new patients
Sda Services of Ca CurrentSince Feb 5, 2025 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

5959 Greenback Ln
Ste 310
Citrus Hts, CA 95621
Phone (916) 527-8921

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

1386 Lead Hill Blvd
Ste 130
Roseville, CA 95661
Phone (916) 527-8921

3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813

4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450

3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319

696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760547145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863295",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 LAKEWOOD RANCH BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025174",
            "telephone_number": "941-745-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKER",
        "first_name": "DERREL",
        "middle_name": "CORVETTE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ANT9193963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.