Individual provider Active NPI

Laura R Brumbaugh, CRNA

  • Certified Registered Nurse Anesthetist
  • Naples, FL
National Provider Identifier
1770635922
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 9217622 Issued in FL
Practice address
4949 Tamiami TRL N
Suitre 206
Naples, FL 34103-3027
Phone
(239) 261-1158
Fax
(239) 261-4232
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 ARNP 9217622 FL Primary

Addresses

Primary practice location

4949 Tamiami TRL N
Suitre 206
Naples, FL 34103-3027

Mailing address

PO Box 413012
Naples, FL 34101-3012
Phone (239) 261-1158

Other identifiers 2

IdentifierTypeStateIssuer
G4153OtherFLBCBS PROVIDER
308126500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070427000475 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800992439 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tranquil Anesthesiology LLCGroup PAC ID 0749598001, 26 clinicians
Quiescence Anesthesia LLCGroup PAC ID 2567750359, 8 clinicians

Practice addresses (Care Compare)

15548 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (407) 547-1654

1780 N Mills Ave
Orlando, FL 32803-1852
Phone (407) 482-7788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9217622FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange City Anesthesia Services LLC CurrentSince Aug 5, 2012 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 18, 2023 Accepting new patients
Tranquil Anesthesiology LLC CurrentSince Apr 3, 2025 Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 25, 2020 Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2016 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Key Practice Management Solutions LLC Past Accepting new patients
David W Nussear MD LLC Past Accepting new patients
Villages Anesthesia Associates LLC PastSince Jun 13, 2008 Accepting new patients
Eminence Anesthesia LLC Past Accepting new patients
Anesthesia Dynamics LLC Past Accepting new patients

Locations (25 of 34)

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

93 N Park Place Blvd
Ste 102
Clearwater, FL 33759
Phone (727) 240-2088

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

980 Milwaukee Ave
Dunedin, FL 34698
Phone (330) 704-4752

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332

9726 Touchton Rd
Ste 305
Jacksonville, FL 32246
Phone (904) 686-6020

9143 Philips Hwy
Ste 500
Jacksonville, FL 32256
Phone (904) 233-0597

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

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

308 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 426-2565

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

975 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 456-5247

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

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

110 Underwood St
Ste B
Orlando, FL 32806
Phone (407) 342-5842

6900 Turkey Lake Rd
Ste 2-5
Orlando, FL 32819
Phone (407) 354-5401

598 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 256-2565

1325 Belcher Rd
Palm Harbor, FL 34683
Phone (816) 500-0021

1399 Jenks Ave
Bldg J
Panama City, FL 32401
Phone (850) 532-6303

Organizations & group practices 12

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1770635922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413012",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341013012",
            "telephone_number": "239-261-1158",
            "fax_number": "239-261-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 TAMIAMI TRL N",
            "address_2": "SUITRE 206",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033027",
            "telephone_number": "239-261-1158",
            "fax_number": "239-261-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "LAURA",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 9217622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "G4153",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308126500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

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