Active NPI
Derrel Corvette Hooker, CRNA
- Certified Registered Nurse Anesthetist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ANT9193963
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4170 | CA | MD | Professional Counselor |
| ANT9193963 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concierge Anesthesia | Current | Accepting new patients | |
| Sda Services of Ca | Current | 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.
-
- Anesthesiology Physician
- Thousand Oaks, CA
- NPI 1447726997
-
dba SDA Services of CA PC
- Anesthesiology Physician
- Crescent City, CA
- NPI 1417428970
-
- Anesthesiology Physician
- Lakewood Ranch, FL
- NPI 1932157989
Nurse Anesthetist, Certified Registered
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.