Individual provider Active NPI

Emily Lauren Randall, CRNA

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1790202950
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R196192 Issued in MD
Practice address
345 St. Paul Place
Baltimore, MD 21202
Phone
(410) 332-6063
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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 R196192 MD Primary

Addresses

Primary practice location

345 St. Paul Place
Baltimore, MD 21202

Mailing address

301 St. Paul Place
17TH Floor
Baltimore, MD 21202
Phone (410) 659-5185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171024000735 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860768694 Reassigns benefits to 1 organization
I20220318001189 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860768694 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Physician Partners of America Crna Operations LLCGroup PAC ID 8022239722, 44 clinicians
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians
Office Anesthesia StaffingGroup PAC ID 6901285709, 62 clinicians

Practice addresses (Care Compare)

204 B E 19TH St
Panama City, FL 32405-4707
Phone (850) 769-7599

4703 N Armenia Ave
Tampa, FL 33603-2618
Phone (813) 514-0230

4730 N Habana Ave
Suite 104
Tampa, FL 33614-7165
Phone (813) 739-7498

6043 Winthrop Commerce Ave
Suite 101
Riverview, FL 33578-4272
Phone (813) 699-9120

960 7TH Ave N
Bay Surgical Specialists PA
St Petersburg, FL 33705-1347
Phone (727) 821-8101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R196192MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Anthony Aesthetics Facial Plastic Surgery, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2023 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 22, 2023 Accepting new patients
Starlight Anesthesia CurrentSince Nov 1, 2022 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Sep 20, 2024 Accepting new patients
North Calvert Anesthesiology Services LLC CurrentSince Aug 21, 2017 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Mar 28, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Mar 28, 2022 Accepting new patients
Office Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Florida Pain Relief Group PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients

Locations (25 of 30)

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

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

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

8000 State Road 64 E
Ste 205
Bradenton, FL 34212
Phone (727) 203-5114

428 W Brandon Blvd
Brandon, FL 33511
Phone (813) 681-4444

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

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

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

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

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

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

1736 33rd St
Ste 100
Orlando, FL 32839
Phone (407) 385-1551

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

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

6043 Winthrop Commerce Ave
Ste 101
Riverview, FL 33578
Phone (813) 699-1200

1901 Dr Martin Luther King St N
Ste B
St Petersburg, FL 33704
Phone (727) 820-3223

960 7th Ave N
St Petersburg, FL 33705
Phone (727) 821-8101

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1881 W Kennedy Blvd
Ste C
Tampa, FL 33606
Phone (813) 693-5000

4703 N Armenia Ave
Tampa, FL 33603
Phone (813) 514-0230

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

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

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1790202950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ST. PAUL PLACE",
            "address_2": "17TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-659-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 ST. PAUL PLACE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-332-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "EMILY",
        "middle_name": "LAUREN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R196192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.