Individual provider Active NPI

Jose R Rivera, CRNA

  • Certified Registered Nurse Anesthetist
  • Sarasota, FL
National Provider Identifier
1770533853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9162399 Issued in FL
Practice address
5560 Bee Ridge Rd
Suite D3
Sarasota, FL 34233-1508
Phone
(941) 342-8200
Fax
(941) 342-8201
NPI assigned
May 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 ARNP9162399 FL Primary

Addresses

Primary practice location

5560 Bee Ridge Rd
Suite D3
Sarasota, FL 34233-1508

Mailing address

5560 Bee Ridge Rd
Suite D3
Sarasota, FL 34233-1508
Phone (941) 342-8200

Other identifiers 2

IdentifierTypeStateIssuer
G2565XOtherFLBLUE CROSS BLUE SHIELD
P00276170OtherFLMEDICARE RAIL ROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000067 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719871797 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2019 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 10, 2023 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2004 Accepting new patients
Physician Partners of America Crna Operations LLC Nurse Anesthetist, Certified Registered CurrentSince May 15, 2025 Accepting new patients
Jennifer Sassi PA Nurse Anesthetist, Certified Registered PastSince Feb 5, 2014 Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. PastSince May 1, 2015 Accepting new patients
Anesthesia Unlimited Inc PastSince Dec 6, 2022 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

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

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

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 322-5600

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

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191

767 Airport Rd
Panama City, FL 32405
Phone (850) 747-0400

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

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, 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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770533853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 BEE RIDGE RD",
            "address_2": "SUITE D3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331508",
            "telephone_number": "941-342-8200",
            "fax_number": "941-342-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 BEE RIDGE RD",
            "address_2": "SUITE D3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331508",
            "telephone_number": "941-342-8200",
            "fax_number": "941-342-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JOSE",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9162399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G2565X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00276170",
            "state": "FL"
        }
    ],
    "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 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.