Individual provider Active NPI

Cynthia L Odom-Brown, CRNA

  • Certified Registered Nurse Anesthetist
  • Lithia, FL
National Provider Identifier
1801829668
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9275981 Issued in FL
Practice address
5955 Jaegerglen Dr
Suite 1
Lithia, FL 33547-5864
Phone
(813) 315-9258
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 APRN9275981 FL Primary

Addresses

Primary practice location

5955 Jaegerglen Dr
Suite 1
Lithia, FL 33547-5864

Mailing address

5955 Jaegerglen Dr
Suite 1
Lithia, FL 33547-5864
Phone (813) 315-9258

Other identifiers 1

IdentifierTypeStateIssuer
150134701MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080919000120 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416024278 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9275981FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Aug 1, 2013 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince May 17, 2024 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2008 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Aug 1, 2013 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Jun 4, 2024 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2008 Accepting new patients
Statesville Hma, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Augusta University Past Accepting new patients
Grey Fox Anesthesia, P.a. Past Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients

Locations

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

411 2nd St E
Bradenton, FL 34208
Phone (941) 746-1121

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

711 S Parsons Ave
Brandon, FL 33511
Phone (813) 654-7111

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

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

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

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

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

14547 Bruce B Downs Blvd
Tampa, FL 33613
Phone (800) 242-5080

2333 W Hillsborough Ave
Ste 110
Tampa, FL 33603
Phone (813) 291-7014

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1801829668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 JAEGERGLEN DR",
            "address_2": "SUITE 1",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475864",
            "telephone_number": "813-315-9258",
            "fax_number": "479-587-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 JAEGERGLEN DR",
            "address_2": "SUITE 1",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475864",
            "telephone_number": "813-315-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM-BROWN",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9275981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150134701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.