Active NPI
Denise Gawman Maen, CRNA
- Certified Registered Nurse Anesthetist
- Brandon, FL
National Provider Identifier
1790744936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9188571
- Practice address
- 711 S Parsons Ave
Brandon, FL 33511-6058 - Phone
- (813) 654-7111
- Fax
- (813) 654-3347
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- 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 | ARNP9188571 | FL | Primary |
Addresses
Primary practice location
711 S Parsons Ave
Brandon, FL 33511-6058
Mailing address
PO Box 862811
Orlando, FL 32886-2811
Phone (913) 754-0467
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305504300 | Medicaid | FL | |
| G3281 | Other | FL | BCBS |
| P00031228 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9188571 | FL | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1790744936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 862811",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328862811",
"telephone_number": "913-754-0467",
"fax_number": "913-241-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S PARSONS AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116058",
"telephone_number": "813-654-7111",
"fax_number": "813-654-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAEN",
"first_name": "DENISE",
"middle_name": "GAWMAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9188571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305504300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G3281",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00031228",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.